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 $501.19 / $602.56 / $954.99	Professional		$501.19	$602.56	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $4,897.79	Facility		$741.31	$1,202.26	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $891.25	Professional		$524.81	$676.08	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $501.19 / $501.19	Facility		$79.43	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,230.27	Professional		$562.34	$794.33	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,248.07	Facility		$54.95	$56.23	$5,248.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $3,715.35	Facility		$537.03	$776.25	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $912.01	Professional		$501.19	$691.83	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,096.48	Professional		$660.69	$660.69	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,318.26	Facility		$512.86	$691.83	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,230.27	Professional		$537.03	$794.33	$1,230.27
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 $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $524.81	Professional		$501.19	$524.81	$524.81