Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $4,677.35	Facility		$724.44	$2,344.23	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $3,388.44	Facility		$851.14	$1,862.09	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $2,691.53	Facility		$512.86	$724.44	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $912.01	Professional		$512.86	$512.86	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $3,311.31	Facility		$691.83	$3,090.30	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $1,202.26	Facility		$512.86	$562.34	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,621.81	Facility		$630.96	$1,230.27	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.60	Professional		$13.49	$13.49	$16.60