Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $4,265.80	Facility		$1,148.15	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Professional		$380.19	$478.63	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $380.19 / $380.19	Facility		$79.43	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $870.96	Professional		$407.38	$549.54	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $3,890.45	Professional		$3,235.94	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $2,041.74	Facility		$389.05	$549.54	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $851.14	Professional		$371.54	$524.81	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $331.13 / $398.11	Professional		$32.36	$331.13	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $831.76	Professional		$512.86	$512.86	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $870.96	Facility		$389.05	$512.86	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $870.96	Professional		$389.05	$549.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $660.69	Professional		$323.59	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Professional		$467.74	$489.78	$489.78