Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Professional		$724.44	$831.76	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $4,365.16	Facility		$831.76	$1,380.38	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,202.26	Professional		$724.44	$912.01	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,659.59	Professional		$758.58	$1,023.29	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $6,165.95	Facility		$1,995.26	$1,995.26	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,309.57 / $6,309.57	Professional		$6,165.95	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $4,677.35	Facility		$741.31	$1,202.26	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,258.93	Professional		$741.31	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,584.89 / $1,905.46	Professional		$6.03	$1,584.89	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,778.28	Facility		$724.44	$1,000.00	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,073.80 / $8,709.64	Facility		$1,288.25	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,348.96	Professional		$645.65	$870.96	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $707.95	Professional		$676.08	$707.95	$707.95