Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,047.13	Professional		$562.34	$645.65	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $4,466.84	Facility		$1,318.26	$2,238.72	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,000.00	Professional		$588.84	$741.31	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $588.84 / $588.84	Facility		$79.43	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,318.26	Professional		$602.56	$812.83	$1,318.26
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 $4,897.79 / $5,495.41 / $5,495.41	Professional		$4,897.79	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $3,715.35	Facility		$549.54	$831.76	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,096.48	Professional		$562.34	$794.33	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $549.54	Professional		$32.36	$81.28	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,137.96 / $2,238.72	Professional		$831.76	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $1,288.25	Facility		$524.81	$724.44	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,318.26	Professional		$575.44	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $977.24	Professional		$478.63	$645.65	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $630.96	Professional		$575.44	$630.96	$630.96