Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $724.44	Professional		$407.38	$467.74	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $676.08	Professional		$398.11	$501.19	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $436.52	Facility		$398.11	$398.11	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $2,511.89	Facility		$741.31	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $912.01	Professional		$398.11	$562.34	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
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 / $1,174.90	Facility		$407.38	$549.54	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $724.44	Professional		$407.38	$467.74	$724.44
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 $199.53 / $831.76 / $1,096.48	Professional		$199.53	$831.76	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $912.01	Facility		$398.11	$537.03	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,000.00	Professional		$398.11	$575.44	$1,000.00
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 $363.08 / $478.63 / $724.44	Professional		$363.08	$478.63	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $501.19	Professional		$331.13	$436.52	$501.19