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 $331.13 / $416.87 / $724.44	Professional		$331.13	$416.87	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $1,071.52	Facility		$213.80	$380.19	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $660.69	Professional		$389.05	$467.74	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $389.05 / $389.05	Facility		$79.43	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $812.83	Professional		$380.19	$524.81	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $28,840.32 / $28,840.32	Facility		$2,398.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $3,981.07	Professional		$3,388.44	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $2,454.71	Facility		$389.05	$537.03	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $870.96	Professional		$331.13	$524.81	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $346.74 / $416.87	Professional		$32.36	$346.74	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,445.44 / $1,819.70	Professional		$524.81	$1,445.44	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $812.83	Facility		$380.19	$512.86	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $831.76	Professional		$363.08	$524.81	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $616.60	Professional		$302.00	$398.11	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Professional		$478.63	$512.86	$512.86