Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,122.02 / $2,511.89	Professional		$173.78	$1,122.02	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,388.44 / $5,248.07	Facility		$1,023.29	$3,388.44	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $2,089.30	Professional		$158.49	$288.40	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $489.78 / $3,162.28	Professional		$199.53	$489.78	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $14,791.08 / $14,791.08	Professional		$12,589.25	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,862.09 / $4,466.84	Facility		$181.97	$1,862.09	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,698.24 / $3,090.30	Professional		$173.78	$1,698.24	$3,090.30
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 $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,412.54 / $3,235.94	Facility		$173.78	$1,412.54	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $3,162.28	Professional		$199.53	$467.74	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,122.02 / $2,754.23	Professional		$173.78	$1,122.02	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,778.28	Professional		$1,698.24	$1,778.28	$1,778.28