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 $446.68 / $537.03 / $794.33	Professional		$446.68	$537.03	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $8,317.64	Facility		$2,511.89	$4,466.84	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $691.83	Professional		$407.38	$501.19	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $954.99	Professional		$467.74	$616.60	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $3,890.45	Professional		$3,162.28	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $4,786.30	Facility		$501.19	$1,000.00	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $831.76	Professional		$446.68	$588.84	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,659.59	Professional		$1,513.56	$1,513.56	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,071.52	Facility		$467.74	$645.65	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $933.25	Professional		$467.74	$616.60	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68