Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $724.44	Professional		$354.81	$416.87	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,570.88	Facility		$1,348.96	$2,238.72	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $645.65	Professional		$380.19	$478.63	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $389.05 / $389.05	Facility		$79.43	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $45,708.82 / $45,708.82	Facility		$4,786.30	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $3,548.13	Professional		$3,019.95	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $3,890.45	Facility		$389.05	$575.44	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $724.44	Professional		$354.81	$524.81	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $758.58	Professional		$524.81	$524.81	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $831.76	Facility		$380.19	$501.19	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $831.76	Professional		$389.05	$537.03	$831.76
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 $316.23 / $416.87 / $630.96	Professional		$316.23	$416.87	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $416.87	Professional		$380.19	$416.87	$416.87