Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $707.95	Professional		$363.08	$436.52	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $4,265.80	Facility		$1,122.02	$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 / $389.05	Facility		$79.43	$380.19	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $851.14	Professional		$398.11	$524.81	$851.14
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 $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 / $2,454.71	Facility		$389.05	$549.54	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $851.14	Professional		$363.08	$537.03	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $812.83	Professional		$446.68	$446.68	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $512.86 / $870.96	Facility		$371.54	$512.86	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $851.14	Professional		$389.05	$537.03	$851.14
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 $316.23 / $416.87 / $645.65	Professional		$316.23	$416.87	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Professional		$467.74	$501.19	$501.19