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 $263.03 / $309.03 / $501.19	Professional		$263.03	$309.03	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $9,772.37	Facility		$2,691.53	$4,897.79	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $426.58	Professional		$251.19	$316.23	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Facility		$251.19	$251.19	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,801.89 / $4,570.88	Facility		$478.63	$3,801.89	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $645.65	Professional		$275.42	$389.05	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $28,840.32 / $28,840.32	Facility		$17,782.79	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $1,659.59	Facility		$269.15	$416.87	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $457.09	Professional		$263.03	$302.00	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $724.44	Professional		$354.81	$524.81	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $676.08	Facility		$269.15	$398.11	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $676.08	Professional		$263.03	$389.05	$676.08
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 $245.47 / $323.59 / $512.86	Professional		$245.47	$323.59	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $309.03	Professional		$208.93	$263.03	$309.03