Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $794.33	Professional		$407.38	$489.78	$794.33
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 $426.58 / $537.03 / $758.58	Professional		$426.58	$537.03	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $436.52 / $436.52	Facility		$79.43	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Professional		$457.09	$602.56	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $28,840.32 / $28,840.32	Facility		$4,786.30	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $2,454.71	Facility		$446.68	$616.60	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $954.99	Professional		$416.87	$588.84	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $371.54 / $457.09	Professional		$32.36	$371.54	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,621.81 / $1,995.26	Professional		$537.03	$1,621.81	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $977.24	Facility		$436.52	$575.44	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $741.31	Professional		$363.08	$478.63	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34