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 $549.54 / $645.65 / $1,071.52	Professional		$549.54	$645.65	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $8,511.38	Facility		$2,398.83	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $954.99	Professional		$575.44	$724.44	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $575.44 / $588.84	Facility		$79.43	$575.44	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,318.26	Professional		$616.60	$831.76	$1,318.26
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 $4,466.84 / $5,370.32 / $5,370.32	Professional		$4,466.84	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $3,890.45	Facility		$602.56	$870.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,096.48	Professional		$549.54	$776.25	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $524.81	Professional		$32.36	$79.43	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,148.15	Professional		$776.25	$776.25	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,348.96	Facility		$575.44	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,288.25	Professional		$575.44	$831.76	$1,288.25
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 $501.19 / $660.69 / $1,023.29	Professional		$501.19	$660.69	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $616.60	Professional		$575.44	$616.60	$616.60