Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $7,943.28	Facility		$794.33	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,000.00	Professional		$537.03	$645.65	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,589.25 / $23,988.33	Facility		$4,168.69	$12,589.25	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $891.25	Professional		$524.81	$660.69	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,202.26	Professional		$588.84	$758.58	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $4,786.30	Professional		$4,168.69	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $977.24 / $4,466.84	Facility		$562.34	$977.24	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $933.25	Professional		$549.54	$724.44	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,202.26 / $1,412.54	Professional		$7.08	$1,202.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $1,348.96	Facility		$537.03	$776.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,202.26	Professional		$575.44	$776.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,365.16	Facility		$436.52	$1,819.70	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,023.29	Professional		$478.63	$660.69	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Professional		$501.19	$537.03	$537.03