Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $7,413.10	Facility		$831.76	$3,090.30	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,047.13	Professional		$549.54	$660.69	$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 $575.44 / $707.95 / $977.24	Professional		$575.44	$707.95	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $616.60	Facility		$79.43	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
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 $4,570.88 / $5,495.41 / $5,495.41	Professional		$4,570.88	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $3,715.35	Facility		$616.60	$851.14	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,174.90	Professional		$562.34	$831.76	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $549.54	Professional		$32.36	$83.18	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,174.90	Professional		$812.83	$812.83	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,258.93	Facility		$616.60	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,288.25	Professional		$562.34	$794.33	$1,288.25
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 $467.74 / $630.96 / $977.24	Professional		$467.74	$630.96	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65