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 / $1,230.27	Professional		$616.60	$741.31	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,912.51 / $15,848.93	Facility		$2,884.03	$8,912.51	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,071.52	Professional		$645.65	$812.83	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $630.96 / $645.65	Facility		$79.43	$630.96	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,513.56	Professional		$676.08	$933.25	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $6,025.60	Professional		$5,495.41	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $3,890.45	Facility		$660.69	$1,023.29	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,174.90	Professional		$616.60	$870.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $588.84	Professional		$32.36	$89.13	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,513.56	Facility		$660.69	$954.99	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Professional		$645.65	$933.25	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,174.90	Professional		$562.34	$741.31	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $676.08 / $676.08	Professional		$616.60	$676.08	$676.08