Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $14,125.38	Facility		$1,096.48	$3,890.45	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,513.56	Professional		$794.33	$954.99	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $5,495.41	Facility		$933.25	$1,548.82	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,445.44	Professional		$831.76	$1,047.13	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,905.46	Professional		$891.25	$1,230.27	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,244.36	Facility		$54.95	$56.23	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $6,456.54	Facility		$851.14	$1,412.54	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,445.44	Professional		$831.76	$1,071.52	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,778.28 / $2,344.23	Professional		$6.03	$1,778.28	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,041.74	Facility		$812.83	$1,174.90	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,905.46	Professional		$851.14	$1,230.27	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,584.89	Professional		$758.58	$1,023.29	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14