Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,548.82	Professional		$812.83	$954.99	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,511.38	Facility		$2,570.40	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,445.44	Professional		$851.14	$1,071.52	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $870.96	Facility		$79.43	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,862.09	Professional		$891.25	$1,202.26	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,943.28 / $7,943.28	Professional		$6,606.93	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,890.45	Facility		$870.96	$1,258.93	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,621.81	Professional		$831.76	$1,174.90	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $794.33	Professional		$32.36	$120.23	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,737.80	Professional		$1,148.15	$1,148.15	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,905.46	Facility		$891.25	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,905.46	Professional		$851.14	$1,202.26	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,445.44	Professional		$707.95	$954.99	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25