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 / $630.96 / $1,047.13	Professional		$537.03	$630.96	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,549.93 / $18,620.87	Facility		$5,248.07	$9,549.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $954.99	Professional		$562.34	$691.83	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,786.30 / $4,786.30	Facility		$562.34	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,258.93	Professional		$588.84	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $45,708.82 / $45,708.82	Facility		$28,840.32	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$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 / $81.28 / $524.81	Professional		$32.36	$81.28	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,288.25	Facility		$575.44	$758.58	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,258.93	Professional		$562.34	$794.33	$1,258.93
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 $467.74 / $630.96 / $977.24	Professional		$467.74	$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