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 $660.69 / $758.58 / $1,202.26	Professional		$660.69	$758.58	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,760.83 / $13,803.84	Facility		$3,630.78	$6,760.83	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $741.31	Professional		$645.65	$660.69	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,513.56	Professional		$707.95	$954.99	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,888.44 / $5,888.44	Professional		$5,128.61	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $4,073.80	Facility		$676.08	$1,023.29	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,122.02	Professional		$676.08	$870.96	$1,122.02
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 / $1,412.54 / $1,737.80	Professional		$7.08	$1,412.54	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,659.59	Facility		$660.69	$954.99	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,479.11	Professional		$707.95	$954.99	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Professional		$602.56	$645.65	$645.65