Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,584.89	Professional		$812.83	$954.99	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,445.44	Professional		$851.14	$1,071.52	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $851.14	Facility		$79.43	$831.76	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $4,365.16	Professional		$1,778.28	$2,238.72	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $45,708.82 / $45,708.82	Facility		$29,512.09	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,943.28 / $7,943.28	Professional		$6,606.93	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,890.45	Facility		$851.14	$1,202.26	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,548.82	Professional		$831.76	$1,148.15	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $794.33	Professional		$32.36	$117.49	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Professional		$1,096.48	$1,096.48	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,949.84	Facility		$870.96	$1,148.15	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,041.74	Professional		$79.43	$1,737.80	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,479.11	Professional		$724.44	$977.24	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $891.25	Professional		$831.76	$891.25	$891.25