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 $549.54 / $660.69 / $1,047.13	Professional		$549.54	$660.69	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $977.24	Professional		$562.34	$707.95	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Facility		$575.44	$575.44	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,511.89	Facility		$891.25	$1,047.13	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,258.93	Professional		$562.34	$776.25	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,370.32	Professional		$4,570.88	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,584.89	Facility		$588.84	$812.83	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,023.29	Professional		$549.54	$660.69	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,479.11	Professional		$616.60	$1,096.48	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,348.96	Facility		$588.84	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,380.38	Professional		$537.03	$776.25	$1,380.38
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 $489.78 / $660.69 / $1,000.00	Professional		$489.78	$660.69	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $707.95	Professional		$446.68	$616.60	$707.95