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 $346.74 / $389.05 / $630.96	Professional		$346.74	$389.05	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $9,332.54	Facility		$2,630.27	$4,897.79	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $588.84	Professional		$338.84	$426.58	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $389.05	Facility		$363.08	$363.08	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $25,703.96	Facility		$616.60	$2,818.38	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $758.58	Professional		$295.12	$457.09	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $11,220.18	Facility		$2,089.30	$2,089.30	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,235.94	Professional		$2,630.27	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $2,511.89	Facility		$354.81	$524.81	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $660.69	Professional		$346.74	$398.11	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $912.01	Professional		$331.13	$707.95	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $831.76	Facility		$346.74	$467.74	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $851.14	Professional		$281.84	$457.09	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $588.84	Professional		$288.40	$380.19	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $446.68	Professional		$288.40	$389.05	$446.68