Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $12,882.50	Facility		$1,122.02	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,754.23	Professional		$1,445.44	$1,659.59	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $14,454.40	Facility		$1,819.70	$3,162.28	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,019.95	Professional		$1,445.44	$1,819.70	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,412.54	Facility		$79.43	$1,380.38	$1,412.54
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 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,466.84	Facility		$1,412.54	$2,089.30	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,570.40	Professional		$1,445.44	$1,949.84	$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 $1,862.09 / $1,862.09 / $3,090.30	Professional		$1,862.09	$1,862.09	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,630.78	Facility		$1,479.11	$2,041.74	$3,630.78
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 $1,380.38 / $1,479.11 / $1,479.11	Professional		$1,380.38	$1,479.11	$1,479.11