Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,238.72 / $6,918.31	Facility		$645.65	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,258.93	Professional		$602.56	$776.25	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $6,309.57	Facility		$1,862.09	$3,311.31	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,071.52	Professional		$588.84	$724.44	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $758.58	Facility		$524.81	$524.81	$758.58
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 $630.96 / $831.76 / $1,318.26	Professional		$630.96	$831.76	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $19,498.45 / $19,498.45	Facility		$6,918.31	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $6,025.60	Professional		$5,754.40	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $3,467.37	Facility		$602.56	$912.01	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,258.93	Professional		$616.60	$812.83	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $1,348.96	Professional		$32.36	$251.19	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,288.25	Facility		$630.96	$851.14	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,318.26	Professional		$616.60	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $8,709.64	Facility		$1,258.93	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,023.29	Professional		$524.81	$707.95	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Professional		$707.95	$741.31	$741.31