Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,511.89 / $7,585.78	Facility		$645.65	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $977.24	Professional		$524.81	$616.60	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,691.53 / $5,128.61	Facility		$1,174.90	$2,691.53	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $588.84	Professional		$512.86	$524.81	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,174.90	Professional		$562.34	$741.31	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $4,570.88	Professional		$4,073.80	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $3,890.45	Facility		$524.81	$912.01	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $912.01	Professional		$537.03	$691.83	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,071.52 / $1,380.38	Professional		$7.08	$1,071.52	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,318.26	Facility		$512.86	$741.31	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,174.90	Professional		$562.34	$758.58	$1,174.90
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 $467.74 / $645.65 / $1,000.00	Professional		$467.74	$645.65	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Professional		$478.63	$512.86	$512.86