Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,162.28 / $7,943.28	Facility		$776.25	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $794.33	Professional		$363.08	$467.74	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $3,467.37	Facility		$457.09	$794.33	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $724.44	Professional		$426.58	$537.03	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $933.25	Professional		$436.52	$575.44	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,786.30	Facility		$54.95	$56.23	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $4,073.80	Professional		$3,235.94	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $4,365.16	Facility		$446.68	$758.58	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $758.58	Professional		$371.54	$549.54	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $870.96 / $1,174.90	Professional		$3.98	$870.96	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $977.24	Facility		$407.38	$575.44	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Professional		$416.87	$575.44	$933.25
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 $363.08 / $501.19 / $776.25	Professional		$363.08	$501.19	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Professional		$407.38	$446.68	$446.68