Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $12,882.50	Facility		$1,023.29	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,737.80	Professional		$870.96	$1,023.29	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $18,197.01	Facility		$5,128.61	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,548.82	Professional		$912.01	$1,148.15	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $891.25	Facility		$79.43	$870.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,511.38 / $8,511.38	Professional		$7,079.46	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $5,370.32	Facility		$891.25	$1,412.54	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,659.59	Professional		$891.25	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,137.96	Facility		$912.01	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,041.74	Professional		$912.01	$1,288.25	$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 $776.25 / $1,047.13 / $1,584.89	Professional		$776.25	$1,047.13	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25