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 / $6,918.31	Facility		$630.96	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $870.96	Professional		$457.09	$562.34	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $9,120.11	Facility		$2,511.89	$4,786.30	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $794.33	Professional		$457.09	$575.44	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,047.13	Professional		$501.19	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $19,498.45 / $19,498.45	Facility		$9,332.54	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $3,890.45	Facility		$489.78	$870.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $831.76	Professional		$457.09	$645.65	$831.76
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 / $933.25 / $1,258.93	Professional		$3.02	$933.25	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,258.93	Facility		$478.63	$660.69	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,047.13	Professional		$489.78	$676.08	$1,047.13
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 $416.87 / $575.44 / $891.25	Professional		$416.87	$575.44	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $467.74	Professional		$446.68	$467.74	$467.74