Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $12,022.64	Facility		$831.76	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,071.52	Professional		$562.34	$660.69	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,912.51 / $15,848.93	Facility		$2,884.03	$8,912.51	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $977.24	Professional		$575.44	$676.08	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $588.84 / $588.84	Facility		$79.43	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,412.54	Professional		$602.56	$870.96	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $45,708.82 / $45,708.82	Facility		$25,118.86	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,370.32 / $5,370.32	Professional		$4,786.30	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $3,890.45	Facility		$616.60	$891.25	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,096.48	Professional		$562.34	$776.25	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $81.28 / $537.03	Professional		$32.36	$81.28	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,202.26	Professional		$794.33	$794.33	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,380.38	Facility		$602.56	$812.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,380.38	Professional		$588.84	$870.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,071.52	Professional		$524.81	$691.83	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $616.60	Professional		$575.44	$616.60	$616.60