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 $645.65 / $758.58 / $1,288.25	Professional		$645.65	$758.58	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,332.54 / $18,197.01	Facility		$4,786.30	$9,332.54	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,122.02	Professional		$660.69	$851.14	$1,122.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $676.08	Facility		$79.43	$660.69	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,513.56	Professional		$691.83	$977.24	$1,513.56
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 $6,165.95 / $6,309.57 / $6,309.57	Professional		$6,165.95	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $3,890.45	Facility		$707.95	$1,071.52	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,230.27	Professional		$645.65	$912.01	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $616.60	Professional		$32.36	$93.33	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Facility		$691.83	$1,000.00	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,513.56	Professional		$660.69	$954.99	$1,513.56
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 $575.44 / $776.25 / $1,230.27	Professional		$575.44	$776.25	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Professional		$660.69	$707.95	$707.95