Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $588.84	Professional		$234.42	$363.08	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $1,548.82	Facility		$234.42	$389.05	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $478.63	Professional		$234.42	$346.74	$478.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $234.42 / $234.42	Facility		$79.43	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $707.95	Professional		$275.42	$426.58	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,489.63 / $13,489.63	Facility		$2,951.21	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $2,454.71	Facility		$257.04	$426.58	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $660.69	Professional		$239.88	$380.19	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $204.17 / $316.23	Professional		$32.36	$204.17	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Professional		$446.68	$446.68	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $676.08	Facility		$257.04	$407.38	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $724.44	Professional		$263.03	$426.58	$724.44
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 $223.87 / $346.74 / $549.54	Professional		$223.87	$346.74	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Professional		$363.08	$380.19	$380.19