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 $436.52 / $524.81 / $812.83	Professional		$436.52	$524.81	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,456.54 / $12,882.50	Facility		$2,630.27	$6,456.54	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
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 $478.63 / $630.96 / $1,000.00	Professional		$478.63	$630.96	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $19,498.45 / $19,498.45	Facility		$14,454.40	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $794.33 / $3,890.45	Facility		$446.68	$794.33	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $758.58	Professional		$457.09	$575.44	$758.58
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 $6.03 / $933.25 / $1,148.15	Professional		$6.03	$933.25	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,096.48	Facility		$426.58	$630.96	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $977.24	Professional		$467.74	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $426.58	Professional		$407.38	$426.58	$426.58