Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $12,022.64	Facility		$812.83	$3,467.37	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $812.83	Professional		$309.03	$489.78	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $8,709.64	Facility		$2,398.83	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $707.95	Professional		$331.13	$512.86	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $338.84 / $338.84	Facility		$79.43	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $954.99	Professional		$354.81	$562.34	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $4,677.35	Professional		$4,073.80	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $2,818.38	Facility		$354.81	$602.56	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,047.13	Professional		$316.23	$524.81	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $281.84 / $467.74	Professional		$32.36	$281.84	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $2,187.76	Professional		$575.44	$1,258.93	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $912.01	Facility		$354.81	$537.03	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $954.99	Professional		$338.84	$549.54	$954.99
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 $281.84 / $446.68 / $707.95	Professional		$281.84	$446.68	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $602.56	Professional		$575.44	$602.56	$602.56