Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,454.71 / $6,918.31	Facility		$588.84	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $933.25	Professional		$489.78	$588.84	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $4,265.80	Facility		$1,148.15	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $891.25	Professional		$512.86	$645.65	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $512.86 / $524.81	Facility		$79.43	$512.86	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $5,128.61	Professional		$4,265.80	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $2,187.76	Facility		$524.81	$724.44	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,122.02	Professional		$501.19	$724.44	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $446.68 / $537.03	Professional		$32.36	$446.68	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,949.84 / $2,344.23	Professional		$676.08	$1,949.84	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,174.90	Facility		$524.81	$707.95	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,174.90	Professional		$537.03	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $891.25	Professional		$446.68	$588.84	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $645.65	Professional		$616.60	$645.65	$645.65