Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $575.44	Professional		$281.84	$338.84	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,762.47	Facility		$2,137.96	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $524.81	Professional		$269.15	$389.05	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
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 $316.23 / $426.58 / $691.83	Professional		$316.23	$426.58	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $45,708.82 / $45,708.82	Facility		$9,549.93	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $2,818.38	Professional		$2,398.83	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $4,677.35	Facility		$316.23	$602.56	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $691.83	Professional		$302.00	$407.38	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $616.60 / $870.96	Professional		$3.02	$616.60	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $707.95	Facility		$302.00	$407.38	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $691.83	Professional		$309.03	$426.58	$691.83
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 $257.04 / $354.81 / $549.54	Professional		$257.04	$354.81	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $309.03	Professional		$288.40	$309.03	$309.03