Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $12,022.64	Facility		$831.76	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $446.68	Professional		$218.78	$269.15	$446.68
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 $234.42 / $288.40 / $398.11	Professional		$234.42	$288.40	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
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 $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $512.86 / $4,677.35	Facility		$245.47	$512.86	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $416.87	Professional		$229.09	$302.00	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $524.81 / $645.65	Professional		$6.03	$524.81	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $616.60	Facility		$229.09	$331.13	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
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 $204.17 / $275.42 / $436.52	Professional		$204.17	$275.42	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $234.42	Professional		$218.78	$234.42	$234.42