Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $831.76	Professional		$467.74	$524.81	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,332.54	Facility		$2,570.40	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $812.83	Professional		$478.63	$616.60	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,071.52	Professional		$524.81	$676.08	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $45,708.82 / $45,708.82	Facility		$8,709.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $4,570.88	Professional		$3,715.35	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $4,677.35	Facility		$512.86	$812.83	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $933.25	Professional		$478.63	$676.08	$933.25
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 $6.03 / $1,000.00 / $1,348.96	Professional		$6.03	$1,000.00	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,122.02	Facility		$489.78	$645.65	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,071.52	Professional		$512.86	$676.08	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $870.96	Professional		$407.38	$562.34	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Professional		$501.19	$537.03	$537.03