Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,162.28 / $7,943.28	Facility		$891.25	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Professional		$831.76	$977.24	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,513.56	Professional		$891.25	$1,096.48	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $891.25	Facility		$79.43	$870.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,949.84	Professional		$912.01	$1,288.25	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $28,840.32 / $28,840.32	Facility		$17,378.01	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $3,715.35	Facility		$870.96	$1,202.26	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,584.89	Professional		$831.76	$1,202.26	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,819.70	Professional		$1,096.48	$1,096.48	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,995.26	Facility		$870.96	$1,148.15	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,949.84	Professional		$891.25	$1,288.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,584.89	Professional		$758.58	$1,000.00	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25