Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $12,022.64	Facility		$812.83	$3,467.37	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $758.58	Professional		$302.00	$467.74	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $8,317.64	Facility		$2,344.23	$4,365.16	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $616.60	Professional		$302.00	$446.68	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $302.00 / $309.03	Facility		$79.43	$302.00	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $912.01	Professional		$354.81	$549.54	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $4,073.80	Professional		$3,548.13	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $2,691.53	Facility		$338.84	$562.34	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $870.96	Professional		$316.23	$489.78	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $269.15 / $426.58	Professional		$32.36	$269.15	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $954.99	Professional		$537.03	$537.03	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $891.25	Facility		$338.84	$524.81	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $933.25	Professional		$338.84	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $691.83	Professional		$288.40	$436.52	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Professional		$478.63	$512.86	$512.86