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 $758.58 / $912.01 / $1,445.44	Professional		$758.58	$912.01	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $7,585.78	Facility		$2,137.96	$4,466.84	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,348.96	Professional		$812.83	$1,023.29	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $831.76	Facility		$79.43	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,737.80	Professional		$831.76	$1,122.02	$1,737.80
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 $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $3,890.45	Facility		$831.76	$1,174.90	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,513.56	Professional		$776.25	$1,096.48	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $741.31	Professional		$32.36	$112.20	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,621.81	Professional		$1,122.02	$1,122.02	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,778.28	Facility		$831.76	$1,096.48	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,348.96	Professional		$660.69	$891.25	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Professional		$812.83	$870.96	$870.96