Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,621.81	Professional		$812.83	$954.99	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,772.37 / $18,197.01	Facility		$5,623.41	$9,772.37	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,584.89	Professional		$851.14	$1,096.48	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $851.14	Facility		$79.43	$831.76	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,949.84	Professional		$891.25	$1,258.93	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,943.28 / $7,943.28	Professional		$7,413.10	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,890.45	Facility		$851.14	$1,348.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,548.82	Professional		$831.76	$1,148.15	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $794.33	Professional		$32.36	$117.49	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,041.74	Facility		$870.96	$1,288.25	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,905.46	Professional		$870.96	$1,230.27	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25