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 $851.14 / $1,047.13 / $1,584.89	Professional		$851.14	$1,047.13	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,380.38	Professional		$724.44	$891.25	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
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 $933.25 / $1,258.93 / $2,041.74	Professional		$933.25	$1,258.93	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $45,708.82 / $45,708.82	Facility		$5,754.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $4,786.30	Facility		$870.96	$1,479.11	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,513.56	Professional		$851.14	$1,174.90	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,905.46 / $2,290.87	Professional		$3.02	$1,905.46	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,137.96	Facility		$891.25	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Professional		$812.83	$870.96	$870.96