Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $12,022.64	Facility		$954.99	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,778.28	Professional		$912.01	$1,071.52	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $7,079.46	Facility		$1,995.26	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,584.89	Professional		$933.25	$1,148.15	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $912.01 / $933.25	Facility		$79.43	$912.01	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,137.96	Professional		$977.24	$1,380.38	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $45,708.82 / $45,708.82	Facility		$6,760.83	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,709.64 / $8,709.64	Professional		$8,511.38	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $3,890.45	Facility		$933.25	$1,348.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,698.24	Professional		$912.01	$1,258.93	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,905.46	Professional		$1,318.26	$1,318.26	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,238.72	Facility		$933.25	$1,258.93	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,137.96	Professional		$933.25	$1,348.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $977.24	Professional		$912.01	$977.24	$977.24