Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,071.52	Professional		$588.84	$676.08	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $812.83	Professional		$575.44	$707.95	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $575.44	Facility		$537.03	$537.03	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,511.89	Facility		$891.25	$1,071.52	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,348.96	Professional		$562.34	$812.83	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,011.87	Facility		$54.95	$56.23	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,862.09	Facility		$588.84	$812.83	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $977.24	Professional		$575.44	$660.69	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,584.89	Professional		$707.95	$1,202.26	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,412.54	Facility		$588.84	$812.83	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,445.44	Professional		$512.86	$812.83	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,047.13	Professional		$512.86	$676.08	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $660.69	Professional		$489.78	$575.44	$660.69