Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,890.45	Professional		$1,995.26	$2,344.23	$3,890.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $15,135.61	Facility		$4,365.16	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,467.37	Professional		$1,819.70	$2,454.71	$3,467.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,905.46 / $1,949.84	Facility		$79.43	$1,905.46	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,570.88	Professional		$2,137.96	$3,019.95	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $5,248.07	Facility		$1,862.09	$2,818.38	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,548.13	Professional		$1,995.26	$2,630.27	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $281.84 / $1,862.09	Professional		$32.36	$281.84	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,168.69	Professional		$2,691.53	$2,691.53	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,897.79	Facility		$2,041.74	$2,818.38	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $4,570.88	Professional		$2,089.30	$2,951.21	$4,570.88
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 $1,778.28 / $2,344.23 / $3,630.78	Professional		$1,778.28	$2,344.23	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $1,995.26	Professional		$1,862.09	$1,995.26	$1,995.26