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 $707.95 / $831.76 / $1,380.38	Professional		$707.95	$831.76	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $18,197.01	Facility		$5,128.61	$9,120.11	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,230.27	Professional		$724.44	$933.25	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $724.44 / $724.44	Facility		$79.43	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,890.45	Facility		$741.31	$1,071.52	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,348.96	Professional		$707.95	$977.24	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $676.08	Professional		$32.36	$102.33	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,630.27 / $2,754.23	Professional		$758.58	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,698.24	Facility		$741.31	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,659.59	Professional		$724.44	$1,047.13	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $776.25	Professional		$707.95	$776.25	$776.25