Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $776.25	Professional		$371.54	$489.78	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $6,456.54	Facility		$1,778.28	$3,162.28	$6,456.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $467.74	Facility		$331.13	$331.13	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $831.76	Professional		$389.05	$524.81	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $28,840.32 / $28,840.32	Facility		$6,918.31	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,715.35	Professional		$3,235.94	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $3,801.89	Facility		$389.05	$588.84	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $776.25	Professional		$389.05	$512.86	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $436.52	Professional		$32.36	$251.19	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $812.83	Facility		$380.19	$524.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $831.76	Professional		$389.05	$524.81	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $616.60	Professional		$323.59	$426.58	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $457.09	Professional		$436.52	$457.09	$457.09