Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,318.26	Professional		$676.08	$794.33	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,549.93 / $18,197.01	Facility		$5,011.87	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,174.90	Professional		$707.95	$870.96	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $707.95	Facility		$79.43	$691.83	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Professional		$724.44	$977.24	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $28,840.32 / $28,840.32	Facility		$26,915.35	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $6,606.93	Professional		$5,495.41	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $3,715.35	Facility		$645.65	$977.24	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,318.26	Professional		$676.08	$977.24	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $660.69	Professional		$32.36	$97.72	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,570.40 / $2,691.53	Professional		$691.83	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,584.89	Facility		$630.96	$870.96	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Professional		$691.83	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,202.26	Professional		$588.84	$794.33	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31