Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $851.14	Professional		$436.52	$537.03	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $831.76	Facility		$213.80	$380.19	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $794.33	Professional		$457.09	$562.34	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $457.09 / $457.09	Facility		$79.43	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,071.52	Professional		$489.78	$676.08	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $19,498.45 / $19,498.45	Facility		$3,019.95	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	54	$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $4,570.88	Professional		$3,801.89	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $2,089.30	Facility		$478.63	$676.08	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,000.00	Professional		$436.52	$645.65	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,698.24 / $2,089.30	Professional		$707.95	$1,698.24	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,071.52	Facility		$478.63	$645.65	$1,071.52
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	54	$575.44	$575.44	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,071.52	Professional		$478.63	$676.08	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $812.83	Professional		$398.11	$524.81	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $588.84	Professional		$549.54	$588.84	$588.84