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 $537.03 / $645.65 / $1,096.48	Professional		$537.03	$645.65	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $17,782.79	Facility		$4,265.80	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $977.24	Professional		$575.44	$707.95	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $575.44 / $575.44	Facility		$79.43	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
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 $4,466.84 / $5,370.32 / $5,370.32	Professional		$4,466.84	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $3,890.45	Facility		$575.44	$831.76	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,071.52	Professional		$549.54	$776.25	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,148.15	Professional		$724.44	$724.44	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $1,288.25	Facility		$575.44	$741.31	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,258.93	Professional		$562.34	$812.83	$1,258.93
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 $478.63 / $630.96 / $977.24	Professional		$478.63	$630.96	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $602.56	Professional		$562.34	$602.56	$602.56