Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $977.24	Professional		$446.68	$575.44	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $891.25	Professional		$537.03	$676.08	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,548.13	Facility		$54.95	$56.23	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $5,128.61	Professional		$4,073.80	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $4,365.16	Facility		$549.54	$912.01	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $933.25	Professional		$457.09	$676.08	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,000.00 / $1,445.44	Professional		$3.98	$1,000.00	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,202.26	Facility		$501.19	$724.44	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,122.02	Professional		$512.86	$724.44	$1,122.02
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 $457.09 / $616.60 / $1,000.00	Professional		$457.09	$616.60	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $562.34	Professional		$501.19	$562.34	$562.34