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 $1,479.11 / $1,737.80 / $2,818.38	Professional		$1,479.11	$1,737.80	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $9,549.93	Facility		$1,737.80	$2,951.21	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,511.89	Professional		$1,445.44	$1,862.09	$2,511.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,445.44	Facility		$79.43	$1,412.54	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,467.37	Professional		$1,548.82	$2,187.76	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,570.88	Facility		$1,445.44	$2,089.30	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,630.27	Professional		$1,479.11	$1,949.84	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $204.17 / $1,348.96	Professional		$32.36	$204.17	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,715.35	Facility		$1,513.56	$2,041.74	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,467.37	Professional		$1,513.56	$2,187.76	$3,467.37
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 $1,318.26 / $1,737.80 / $2,630.27	Professional		$1,318.26	$1,737.80	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56