Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $794.33	Professional		$436.52	$537.03	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $4,073.80	Facility		$1,202.26	$2,187.76	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $616.60	Professional		$446.68	$478.63	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $977.24	Professional		$467.74	$602.56	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $28,840.32 / $28,840.32	Facility		$3,715.35	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $4,365.16	Facility		$478.63	$776.25	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $831.76	Professional		$478.63	$616.60	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $933.25 / $1,318.26	Professional		$5.01	$933.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $602.56 / $1,047.13	Facility		$446.68	$602.56	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,000.00	Professional		$457.09	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $776.25	Professional		$380.19	$501.19	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $457.09	Professional		$436.52	$457.09	$457.09