Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $831.76	Professional		$457.09	$524.81	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,585.78 / $14,454.40	Facility		$3,467.37	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $758.58	Professional		$446.68	$562.34	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $416.87	Facility		$398.11	$398.11	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,890.45 / $4,897.79	Facility		$831.76	$3,890.45	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,023.29	Professional		$426.58	$602.56	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $2,511.89	Facility		$436.52	$660.69	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $741.31	Professional		$446.68	$512.86	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $1,202.26	Professional		$457.09	$870.96	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,096.48	Facility		$436.52	$602.56	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,096.48	Professional		$398.11	$616.60	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,912.51	Facility		$1,380.38	$3,981.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $794.33	Professional		$389.05	$524.81	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $489.78	Professional		$371.54	$416.87	$489.78