Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $501.19	Professional		$173.78	$302.00	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $17,782.79	Facility		$4,265.80	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $416.87	Professional		$169.82	$295.12	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $169.82	Facility		$79.43	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $616.60	Professional		$199.53	$338.84	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,235.94	Professional		$2,754.23	$2,754.23	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $389.05 / $2,691.53	Facility		$186.21	$389.05	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $562.34	Professional		$173.78	$309.03	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,202.26	Professional		$562.34	$660.69	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $354.81 / $645.65	Facility		$186.21	$354.81	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $616.60	Professional		$194.98	$338.84	$616.60
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 $162.18 / $288.40 / $501.19	Professional		$162.18	$288.40	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $323.59	Professional		$309.03	$323.59	$323.59