Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $741.31	Professional		$380.19	$457.09	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $3,162.28	Facility		$954.99	$1,698.24	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $660.69	Professional		$380.19	$478.63	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Facility		$407.38	$407.38	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $1,412.54	Facility		$724.44	$831.76	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $851.14	Professional		$380.19	$524.81	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $28,840.32 / $28,840.32	Facility		$3,630.78	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $1,737.80	Facility		$407.38	$549.54	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $741.31	Professional		$380.19	$457.09	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,096.48	Professional		$501.19	$776.25	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $912.01	Facility		$398.11	$524.81	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $954.99	Professional		$363.08	$524.81	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $676.08	Professional		$331.13	$436.52	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $501.19	Professional		$288.40	$436.52	$501.19