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 $1,230.27 / $1,445.44 / $2,238.72	Professional		$1,230.27	$1,445.44	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $6,309.57	Facility		$1,479.11	$2,454.71	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,344.23	Professional		$1,202.26	$1,548.82	$2,344.23
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 / $2,951.21	Professional		$1,288.25	$1,819.70	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $11,220.18 / $11,220.18	Professional		$10,964.78	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $4,365.16	Facility		$1,202.26	$1,819.70	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,187.76	Professional		$1,230.27	$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 $1,445.44 / $1,445.44 / $2,630.27	Professional		$1,445.44	$1,445.44	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,090.30	Facility		$1,258.93	$1,737.80	$3,090.30
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 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,238.72	Professional		$1,122.02	$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