Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $977.24	Professional		$524.81	$645.65	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,079.46 / $13,182.57	Facility		$3,981.07	$7,079.46	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $977.24	Professional		$562.34	$724.44	$977.24
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 Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,318.26	Professional		$588.84	$812.83	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,248.07	Professional		$4,466.84	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $5,128.61	Facility		$562.34	$1,000.00	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,000.00	Professional		$562.34	$741.31	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,174.90 / $1,584.89	Professional		$3.02	$1,174.90	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $1,380.38	Facility		$549.54	$776.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,318.26	Professional		$575.44	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,071.52	Professional		$501.19	$676.08	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Professional		$537.03	$575.44	$575.44