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 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $758.58	Professional		$426.58	$512.86	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $676.08	Professional		$389.05	$501.19	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $977.24	Professional		$457.09	$602.56	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,071.52 / $6,918.31	Facility		$467.74	$1,071.52	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $724.44	Professional		$426.58	$562.34	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $575.44 / $1,047.13	Facility		$426.58	$575.44	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $933.25	Professional		$426.58	$602.56	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $776.25	Professional		$371.54	$501.19	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Professional		$389.05	$389.05	$436.52