Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $12,302.69	Facility		$870.96	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $954.99	Professional		$512.86	$616.60	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $5,888.44	Facility		$575.44	$1,000.00	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $891.25	Professional		$512.86	$645.65	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $602.56	Facility		$562.34	$562.34	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $977.24 / $2,511.89	Facility		$891.25	$977.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,148.15	Professional		$478.63	$691.83	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,011.87	Professional		$4,073.80	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,445.44	Facility		$524.81	$707.95	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,000.00	Professional		$501.19	$616.60	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,479.11	Professional		$575.44	$1,023.29	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,174.90	Facility		$512.86	$691.83	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,288.25	Professional		$446.68	$707.95	$1,288.25
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 $426.58 / $588.84 / $891.25	Professional		$426.58	$588.84	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $691.83	Professional		$398.11	$602.56	$691.83