Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $12,022.64	Facility		$870.96	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,258.93	Professional		$630.96	$741.31	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $20,417.38	Facility		$5,128.61	$10,715.19	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,122.02	Professional		$660.69	$812.83	$1,122.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,513.56	Professional		$707.95	$954.99	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional		$5,128.61	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,122.02 / $4,786.30	Facility		$660.69	$1,122.02	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,148.15	Professional		$660.69	$851.14	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,380.38 / $1,819.70	Professional		$6.03	$1,380.38	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,548.82	Facility		$630.96	$912.01	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,513.56	Professional		$660.69	$954.99	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,258.93	Professional		$588.84	$794.33	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69