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 $1,258.93 / $1,513.56 / $2,454.71	Professional		$1,258.93	$1,513.56	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $8,128.31	Facility		$1,445.44	$2,454.71	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $2,089.30	Professional		$1,258.93	$1,348.96	$2,089.30
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 $1,348.96 / $1,949.84 / $3,162.28	Professional		$1,348.96	$1,949.84	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,589.25	Facility		$54.95	$56.23	$12,589.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,022.64	Professional		$11,748.98	$11,748.98	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $4,570.88	Facility		$1,202.26	$1,949.84	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,187.76	Professional		$1,258.93	$1,659.59	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $177.83 / $1,174.90	Professional		$32.36	$177.83	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,570.40	Professional		$1,548.82	$1,548.82	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,090.30	Facility		$1,288.25	$1,862.09	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,090.30	Professional		$1,318.26	$1,905.46	$3,090.30
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 $1,148.15 / $1,548.82 / $2,344.23	Professional		$1,148.15	$1,548.82	$2,344.23
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