Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,467.37 / $12,022.64	Facility		$794.33	$3,467.37	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $776.25	Professional		$331.13	$489.78	$776.25
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 $323.59 / $467.74 / $645.65	Professional		$323.59	$467.74	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $316.23	Facility		$79.43	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $954.99	Professional		$371.54	$588.84	$954.99
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 $3,981.07 / $4,265.80 / $4,265.80	Professional		$3,981.07	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $616.60 / $2,884.03	Facility		$363.08	$616.60	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $870.96	Professional		$338.84	$512.86	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $416.87	Professional		$32.36	$64.57	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $954.99	Facility		$363.08	$575.44	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $977.24	Professional		$363.08	$575.44	$977.24
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 $316.23 / $478.63 / $758.58	Professional		$316.23	$478.63	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19