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 $331.13 / $398.11 / $630.96	Professional		$331.13	$398.11	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $776.25	Facility		$199.53	$354.81	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $602.56	Professional		$346.74	$436.52	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $346.74 / $354.81	Facility		$79.43	$346.74	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $776.25	Professional		$363.08	$489.78	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $19,498.45 / $19,498.45	Facility		$2,290.87	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,467.37	Professional		$2,951.21	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $1,995.26	Facility		$354.81	$489.78	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $758.58	Professional		$331.13	$478.63	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,318.26 / $1,584.89	Professional		$407.38	$1,318.26	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $794.33	Facility		$338.84	$457.09	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $776.25	Professional		$354.81	$489.78	$776.25
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 $295.12 / $389.05 / $588.84	Professional		$295.12	$389.05	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Professional		$416.87	$446.68	$446.68