Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Professional		$616.60	$812.83	$1,288.25
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 $616.60 / $776.25 / $1,047.13	Professional		$616.60	$776.25	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Facility		$562.34	$562.34	$588.84
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 $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $45,708.82 / $45,708.82	Facility		$5,754.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $5,623.41	Professional		$4,897.79	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $5,128.61	Facility		$616.60	$977.24	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,122.02	Professional		$630.96	$812.83	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $758.58	Professional		$562.34	$645.65	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $1,288.25	Facility		$588.84	$776.25	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38
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 $524.81 / $707.95 / $1,047.13	Professional		$524.81	$707.95	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $588.84	Professional		$562.34	$588.84	$588.84