Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $1,096.48	Facility		$446.68	$457.09	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $724.44	Professional		$416.87	$489.78	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,023.29	Facility		$79.43	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $7,244.36	Professional		$5,011.87	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $954.99 / $1,479.11	Facility		$323.59	$954.99	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $977.24	Professional		$436.52	$512.86	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $501.19	Professional		$436.52	$501.19	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $3,715.35	Professional		$346.74	$346.74	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $1,412.54	Facility		$426.58	$794.33	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $1,023.29	Facility		$275.42	$436.52	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $630.96	Professional		$363.08	$524.81	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29