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 / $13,489.63	Facility		$977.24	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,318.26	Professional		$645.65	$741.31	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,230.27 / $5,248.07	Facility		$724.44	$1,230.27	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,096.48	Professional		$630.96	$776.25	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Facility		$660.69	$660.69	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,511.89	Facility		$891.25	$1,230.27	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,445.44	Professional		$602.56	$870.96	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $6,165.95	Professional		$5,011.87	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,819.70	Facility		$676.08	$891.25	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,230.27	Professional		$660.69	$758.58	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $1,737.80	Professional		$645.65	$1,288.25	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,513.56	Facility		$676.08	$891.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,584.89	Professional		$588.84	$870.96	$1,584.89
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 $575.44 / $758.58 / $1,148.15	Professional		$575.44	$758.58	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $812.83	Professional		$549.54	$724.44	$812.83