Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,079.46	Facility		$707.95	$2,951.21	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $354.81	Professional		$181.97	$229.09	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $5,495.41	Facility		$1,659.59	$2,884.03	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $354.81	Professional		$181.97	$234.42	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $446.68	Professional		$199.53	$269.15	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,238.72	Professional		$1,949.84	$1,949.84	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $3,715.35	Facility		$194.98	$323.59	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Professional		$186.21	$251.19	$416.87
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 $3.02 / $457.09 / $588.84	Professional		$3.02	$457.09	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $489.78	Facility		$186.21	$263.03	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $446.68	Professional		$199.53	$275.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $363.08	Professional		$165.96	$229.09	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $239.88	Professional		$223.87	$239.88	$239.88