Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,000.00	Professional		$501.19	$602.56	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $8,709.64	Facility		$2,570.40	$4,466.84	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $891.25	Professional		$524.81	$660.69	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $524.81 / $524.81	Facility		$79.43	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,230.27	Professional		$549.54	$758.58	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,495.41	Professional		$4,897.79	$4,897.79	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $3,890.45	Facility		$549.54	$912.01	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $977.24	Professional		$501.19	$724.44	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $1,995.26	Professional		$954.99	$1,949.84	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,288.25	Facility		$549.54	$794.33	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,230.27	Professional		$524.81	$758.58	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $977.24	Professional		$457.09	$616.60	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $549.54	Professional		$512.86	$549.54	$549.54