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 $457.09 / $575.44 / $831.76	Professional		$457.09	$575.44	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $14,791.08	Facility		$4,168.69	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $794.33	Professional		$478.63	$588.84	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,047.13	Professional		$501.19	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $4,365.16	Facility		$501.19	$851.14	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $870.96	Professional		$489.78	$645.65	$870.96
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 / $977.24 / $1,380.38	Professional		$5.01	$977.24	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,230.27	Facility		$467.74	$645.65	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,047.13	Professional		$478.63	$660.69	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $831.76	Professional		$398.11	$549.54	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $489.78	Professional		$457.09	$489.78	$489.78