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 $616.60 / $741.31 / $1,202.26	Professional		$616.60	$741.31	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $9,332.54 / $15,848.93	Facility		$3,235.94	$9,332.54	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,096.48	Professional		$645.65	$776.25	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $660.69	Facility		$79.43	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Professional		$676.08	$933.25	$1,445.44
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 $5,128.61 / $6,165.95 / $6,165.95	Professional		$5,128.61	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $3,890.45	Facility		$676.08	$954.99	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,202.26	Professional		$616.60	$870.96	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $602.56	Professional		$32.36	$91.20	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,479.11	Facility		$660.69	$870.96	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Professional		$645.65	$933.25	$1,445.44
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 $549.54 / $724.44 / $1,122.02	Professional		$549.54	$724.44	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Professional		$645.65	$691.83	$691.83