Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,584.89	Facility		$933.25	$1,148.15	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,137.96	Professional		$1,000.00	$1,380.38	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $4,265.80	Facility		$707.95	$1,096.48	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,089.30	Professional		$1,000.00	$1,318.26	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $912.01 / $912.01	Facility		$79.43	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,884.03	Professional		$1,148.15	$1,737.80	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,481.54 / $11,481.54	Professional		$10,232.93	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,691.53	Facility		$1,047.13	$1,659.59	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,454.71	Professional		$1,000.00	$1,380.38	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Professional		$1,819.70	$1,819.70	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,818.38	Facility		$1,071.52	$1,737.80	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,818.38	Professional		$1,122.02	$1,737.80	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,187.76	Professional		$1,000.00	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,445.44	Professional		$1,348.96	$1,445.44	$1,445.44