Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $7,413.10	Facility		$851.14	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,348.96	Professional		$676.08	$831.76	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $5,248.07	Facility		$1,621.81	$2,818.38	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,348.96	Professional		$794.33	$851.14	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $851.14 / $870.96	Facility		$79.43	$851.14	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,621.81	Professional		$724.44	$1,000.00	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $28,840.32 / $28,840.32	Facility		$10,715.19	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $7,585.78	Professional		$6,456.54	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,715.35	Facility		$707.95	$1,023.29	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,584.89	Professional		$724.44	$1,122.02	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,548.82	Professional		$724.44	$724.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,659.59	Facility		$676.08	$933.25	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,659.59	Professional		$707.95	$1,000.00	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,258.93	Professional		$537.03	$794.33	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25