Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $11,748.98	Facility		$977.24	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,548.82	Professional		$794.33	$912.01	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $18,620.87 / $35,481.34	Facility		$8,128.31	$18,620.87	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,348.96	Professional		$812.83	$1,000.00	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $794.33 / $812.83	Facility		$79.43	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,819.70	Professional		$851.14	$1,174.90	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $19,952.62 / $50,118.72	Facility		$1,819.70	$19,952.62	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $7,585.78	Professional		$6,309.57	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $6,918.31	Facility		$812.83	$1,412.54	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $758.58	Professional		$32.36	$114.82	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,659.59	Professional		$812.83	$812.83	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,949.84	Facility		$812.83	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,819.70	Professional		$812.83	$1,174.90	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,412.54	Professional		$691.83	$933.25	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14