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 $616.60 / $741.31 / $1,258.93	Professional		$616.60	$741.31	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,317.64	Facility		$2,454.71	$4,466.84	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $676.08	Facility		$79.43	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,513.56	Professional		$676.08	$954.99	$1,513.56
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 $5,754.40 / $6,309.57 / $6,309.57	Professional		$5,754.40	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,890.45	Facility		$691.83	$1,000.00	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,258.93	Professional		$645.65	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,380.38	Professional		$1,000.00	$1,000.00	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,513.56	Facility		$691.83	$933.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,513.56	Professional		$645.65	$954.99	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,174.90	Professional		$562.34	$758.58	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $724.44	Professional		$660.69	$724.44	$724.44