Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,023.29	Professional		$549.54	$676.08	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $691.83	Professional		$524.81	$549.54	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
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 $602.56 / $794.33 / $1,258.93	Professional		$602.56	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $5,011.87	Professional		$4,365.16	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $4,365.16	Facility		$588.84	$977.24	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,000.00	Professional		$575.44	$758.58	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,122.02 / $1,479.11	Professional		$3.02	$1,122.02	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,380.38	Facility		$575.44	$776.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,230.27	Professional		$588.84	$794.33	$1,230.27
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 $489.78 / $676.08 / $1,047.13	Professional		$489.78	$676.08	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34