Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,235.94 / $7,413.10	Facility		$776.25	$3,235.94	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $660.69	Professional		$346.74	$398.11	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $5,888.44	Facility		$1,778.28	$2,951.21	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $588.84	Professional		$346.74	$436.52	$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 $630.96 / $1,698.24 / $2,187.76	Facility		$630.96	$1,698.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $776.25	Professional		$346.74	$478.63	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $1,778.28	Facility		$363.08	$501.19	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $660.69	Professional		$346.74	$407.38	$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 $478.63 / $707.95 / $954.99	Professional		$478.63	$707.95	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $851.14	Facility		$354.81	$467.74	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $870.96	Professional		$331.13	$478.63	$870.96
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 $295.12 / $398.11 / $602.56	Professional		$295.12	$398.11	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $446.68	Professional		$295.12	$389.05	$446.68