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 $416.87 / $501.19 / $831.76	Professional		$416.87	$501.19	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,570.88	Facility		$1,348.96	$2,238.72	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $724.44	Professional		$426.58	$524.81	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $426.58 / $436.52	Facility		$79.43	$426.58	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Professional		$457.09	$645.65	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $45,708.82 / $45,708.82	Facility		$4,786.30	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $3,715.35	Facility		$457.09	$660.69	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $794.33	Professional		$426.58	$588.84	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $891.25	Professional		$676.08	$676.08	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $1,023.29	Facility		$446.68	$602.56	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,023.29	Professional		$446.68	$645.65	$1,023.29
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 $380.19 / $512.86 / $794.33	Professional		$380.19	$512.86	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $446.68	Professional		$426.58	$446.68	$446.68