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 $660.69 / $776.25 / $1,318.26	Professional		$660.69	$776.25	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,782.79 / $36,307.81	Facility		$6,456.54	$17,782.79	$36,307.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,174.90	Professional		$691.83	$870.96	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $691.83	Facility		$79.43	$676.08	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,659.59	Professional		$741.31	$1,023.29	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $47,863.01	Facility		$45,708.82	$45,708.82	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $3,890.45	Facility		$724.44	$1,122.02	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $630.96	Professional		$32.36	$95.50	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,659.59	Facility		$707.95	$1,047.13	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,584.89	Professional		$707.95	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,454.40	Facility		$2,187.76	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Professional		$616.60	$812.83	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $724.44	Professional		$676.08	$724.44	$724.44