Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,951.21 / $7,413.10	Facility		$776.25	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,202.26	Professional		$630.96	$758.58	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,332.54 / $17,782.79	Facility		$3,801.89	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,122.02	Professional		$660.69	$776.25	$1,122.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $660.69	Facility		$79.43	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,479.11	Professional		$691.83	$954.99	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $28,840.32 / $28,840.32	Facility		$25,118.86	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $3,715.35	Facility		$676.08	$1,000.00	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,230.27	Professional		$630.96	$912.01	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $616.60	Professional		$32.36	$93.33	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $2,511.89	Professional		$1,288.25	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,513.56	Facility		$676.08	$933.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,479.11	Professional		$660.69	$954.99	$1,479.11
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 $562.34 / $741.31 / $1,174.90	Professional		$562.34	$741.31	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $707.95	Professional		$645.65	$707.95	$707.95