Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $602.56	Facility		$537.03	$575.44	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $891.25	Professional		$549.54	$630.96	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,318.26	Facility		$79.43	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $724.44	Professional		$524.81	$524.81	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Professional		$6,456.54	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,230.27 / $1,905.46	Facility		$602.56	$1,230.27	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,288.25	Professional		$575.44	$645.65	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Professional		$758.58	$758.58	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,949.84	Facility		$630.96	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $724.44	Professional		$524.81	$524.81	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,348.96	Facility		$389.05	$575.44	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $870.96	Professional		$478.63	$691.83	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26