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 $1,202.26 / $1,412.54 / $2,344.23	Professional		$1,202.26	$1,412.54	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,202.26	Facility		$79.43	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,884.03	Professional		$1,288.25	$1,819.70	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
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 $1,202.26 / $1,778.28 / $4,570.88	Facility		$1,202.26	$1,778.28	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,187.76	Professional		$1,202.26	$1,659.59	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $1,122.02	Professional		$32.36	$169.82	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,630.27	Professional		$1,479.11	$1,479.11	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,162.28	Facility		$1,258.93	$1,698.24	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,884.03	Professional		$1,258.93	$1,819.70	$2,884.03
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 $1,096.48 / $1,479.11 / $2,238.72	Professional		$1,096.48	$1,479.11	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,258.93	Professional		$1,174.90	$1,258.93	$1,258.93