Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $851.14	Professional		$354.81	$524.81	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $6,165.95	Facility		$1,621.81	$3,235.94	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $707.95	Professional		$416.87	$524.81	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Facility		$407.38	$407.38	$426.58
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 $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,047.13 / $6,918.31	Facility		$54.95	$1,047.13	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $691.83 / $4,073.80	Facility		$436.52	$691.83	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $891.25	Professional		$426.58	$562.34	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $933.25	Professional		$398.11	$707.95	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $831.76	Facility		$416.87	$524.81	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $630.96	Professional		$323.59	$436.52	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $426.58	Professional		$407.38	$426.58	$426.58