Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $6,918.31	Facility		$707.95	$2,818.38	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	50	$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,000.00	Professional		$446.68	$616.60	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $1,000.00 / $1,905.46	Professional	50	$416.87	$1,000.00	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $6,165.95	Facility		$1,737.80	$3,090.30	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $870.96	Professional		$436.52	$562.34	$870.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $602.56	Facility		$389.05	$389.05	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $977.24	Professional		$467.74	$645.65	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $3,801.89	Facility		$467.74	$724.44	$3,801.89
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	50	$912.01	$912.01	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,047.13	Professional		$457.09	$645.65	$1,047.13
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $1,000.00 / $1,995.26	Professional	50	$416.87	$1,000.00	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $354.81 / $562.34	Professional		$32.36	$354.81	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $676.08	Professional		$426.58	$562.34	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,023.29	Facility		$457.09	$660.69	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $977.24	Professional		$457.09	$645.65	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $776.25	Professional		$398.11	$537.03	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $588.84	Professional		$562.34	$588.84	$588.84