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 $323.59 / $389.05 / $588.84	Professional		$323.59	$389.05	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,570.88 / $8,511.38	Facility		$2,041.74	$4,570.88	$8,511.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
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 $354.81 / $467.74 / $724.44	Professional		$354.81	$467.74	$724.44
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 $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $3,890.45	Facility		$354.81	$630.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $588.84	Professional		$323.59	$446.68	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $660.69 / $870.96	Professional		$6.03	$660.69	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $891.25	Facility		$338.84	$457.09	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $724.44	Professional		$354.81	$467.74	$724.44
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 $288.40 / $389.05 / $616.60	Professional		$288.40	$389.05	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $331.13	Professional		$309.03	$331.13	$331.13