Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,162.28 / $7,943.28	Facility		$831.76	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,148.15	Professional		$602.56	$724.44	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $9,549.93	Facility		$2,754.23	$5,128.61	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,047.13	Professional		$616.60	$776.25	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $676.08	Facility		$630.96	$630.96	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $2,398.83	Facility		$1,148.15	$2,187.76	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,348.96	Professional		$575.44	$831.76	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $5,754.40	Professional		$4,786.30	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $2,238.72	Facility		$645.65	$870.96	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,148.15	Professional		$602.56	$724.44	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,698.24	Professional		$758.58	$1,202.26	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,445.44	Facility		$645.65	$831.76	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,513.56	Professional		$537.03	$851.14	$1,513.56
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 $524.81 / $707.95 / $1,096.48	Professional		$524.81	$707.95	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $776.25	Professional		$489.78	$676.08	$776.25