Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,715.35 / $12,022.64	Facility		$891.25	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,584.89	Professional		$724.44	$870.96	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,760.83 / $12,882.50	Facility		$3,630.78	$6,760.83	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,202.26	Professional		$707.95	$912.01	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,370.32 / $5,370.32	Facility		$676.08	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Professional		$776.25	$1,023.29	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $50,118.72 / $50,118.72	Facility		$14,454.40	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $6,456.54	Professional		$5,754.40	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,548.82 / $7,079.46	Facility		$724.44	$1,548.82	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,995.26	Professional		$724.44	$954.99	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,445.44 / $1,949.84	Professional		$3.02	$1,445.44	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,778.28	Facility		$724.44	$1,000.00	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,079.46 / $20,417.38	Facility		$2,187.76	$7,079.46	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,348.96	Professional		$645.65	$870.96	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $707.95	Professional		$676.08	$707.95	$707.95