Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,715.35 / $12,882.50	Facility		$1,202.26	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $3,235.94	Professional		$1,412.54	$1,621.81	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $10,964.78	Facility		$1,659.59	$2,818.38	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $2,089.30	Professional		$1,202.26	$1,288.25	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,380.38	Facility		$79.43	$1,348.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,235.94	Professional		$1,479.11	$2,089.30	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $4,466.84	Facility		$1,380.38	$1,995.26	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,570.40	Professional		$1,412.54	$1,862.09	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $199.53 / $1,318.26	Professional		$32.36	$199.53	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,951.21	Professional		$1,584.89	$1,584.89	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,548.13	Facility		$1,445.44	$1,905.46	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,311.31	Professional		$1,445.44	$2,041.74	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,570.40	Professional		$1,258.93	$1,659.59	$2,570.40
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