Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $7,585.78	Facility		$630.96	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $851.14 / $2,137.96	Professional		$371.54	$851.14	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,073.80	Facility		$831.76	$1,318.26	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $1,318.26	Professional		$346.74	$724.44	$1,318.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $891.25	Facility		$346.74	$346.74	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $954.99 / $1,230.27	Facility		$616.60	$954.99	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $3,548.13	Professional		$389.05	$776.25	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $15,488.17	Professional		$14,125.38	$14,125.38	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $933.25 / $2,884.03	Facility		$380.19	$933.25	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $851.14 / $1,659.59	Professional		$371.54	$851.14	$1,659.59
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 / $5,888.44 / $8,709.64	Professional		$5.01	$5,888.44	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $3,548.13	Facility		$389.05	$912.01	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $3,311.31	Professional		$389.05	$794.33	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,511.38	Facility		$1,380.38	$3,981.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $741.31 / $3,467.37	Professional		$346.74	$741.31	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $870.96 / $1,000.00	Professional		$316.23	$870.96	$1,000.00