Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,022.64	Facility		$870.96	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,096.48	Professional		$549.54	$660.69	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $17,782.79	Facility		$4,265.80	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $977.24	Professional		$575.44	$724.44	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $575.44 / $575.44	Facility		$79.43	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,951.21	Professional		$1,202.26	$1,513.56	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,370.32	Professional		$4,570.88	$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 $562.34 / $794.33 / $1,071.52	Professional		$562.34	$794.33	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $537.03	Professional		$32.36	$79.43	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,348.96	Facility		$602.56	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,412.54	Professional		$79.43	$1,148.15	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
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 $562.34 / $616.60 / $616.60	Professional		$562.34	$616.60	$616.60