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 $114.82 / $141.25 / $223.87	Professional		$114.82	$141.25	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,187.76 / $4,677.35	Facility		$954.99	$2,187.76	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $131.83	Professional		$114.82	$117.49	$131.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $288.40	Professional		$128.82	$173.78	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $19,498.45 / $19,498.45	Facility		$3,981.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Professional		$1,348.96	$1,348.96	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $251.19 / $3,715.35	Facility		$123.03	$251.19	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $204.17	Professional		$117.49	$154.88	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $269.15 / $407.38	Professional		$3.02	$269.15	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Facility		$114.82	$165.96	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $281.84	Professional		$125.89	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $223.87	Professional		$104.71	$144.54	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $114.82	Professional		$107.15	$114.82	$114.82