Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,122.02 / $3,548.13	Facility		$446.68	$1,122.02	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $1,621.81 / $3,548.13	Facility		$10.23	$1,621.81	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $371.54 / $478.63	Professional		$5.01	$371.54	$478.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $676.08	Facility		$79.43	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,122.02 / $2,951.21	Facility		$446.68	$1,122.02	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,230.27	Professional		$346.74	$691.83	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,230.27	Facility		$407.38	$676.08	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $537.03 / $812.83	Professional		$7.94	$537.03	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,445.44	Professional		$676.08	$741.31	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,548.82	Facility		$407.38	$676.08	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,174.90	Professional		$346.74	$645.65	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $676.08	Facility		$245.47	$371.54	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $616.60	Professional		$288.40	$288.40	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $676.08	Professional		$263.03	$263.03	$676.08