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 $1,348.96 / $1,584.89 / $2,630.27	Professional		$1,348.96	$1,584.89	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $8,709.64	Facility		$1,584.89	$2,630.27	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,089.30	Professional		$1,174.90	$1,621.81	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,348.96	Facility		$79.43	$1,318.26	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,162.28	Professional		$1,445.44	$2,041.74	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $4,570.88	Facility		$1,318.26	$1,995.26	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,398.83	Professional		$1,348.96	$1,819.70	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $194.98 / $1,288.25	Professional		$32.36	$194.98	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Professional		$1,995.26	$1,995.26	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,388.44	Facility		$1,412.54	$1,949.84	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,162.28	Professional		$1,412.54	$2,041.74	$3,162.28
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 $1,202.26 / $1,584.89 / $2,454.71	Professional		$1,202.26	$1,584.89	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,412.54	Professional		$1,288.25	$1,412.54	$1,412.54