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 / $537.03 / $870.96	Professional		$467.74	$537.03	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $630.96	Professional		$457.09	$478.63	$630.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $457.09	Facility		$426.58	$426.58	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $4,168.69	Facility		$831.76	$3,548.13	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $1,862.09	Facility		$467.74	$676.08	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $794.33	Professional		$457.09	$537.03	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,288.25	Professional		$575.44	$954.99	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,174.90	Facility		$467.74	$645.65	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,148.15	Professional		$416.87	$645.65	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $851.14	Professional		$407.38	$549.54	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $537.03	Professional		$380.19	$457.09	$537.03