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 $1,819.70 / $2,137.96 / $3,235.94	Professional		$1,819.70	$2,137.96	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,235.94	Professional		$1,862.09	$2,344.23	$3,235.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,778.28 / $1,778.28	Facility		$79.43	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,265.80	Professional		$1,949.84	$2,691.53	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,620.87	Facility		$54.95	$56.23	$18,620.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $17,378.01 / $17,378.01	Professional		$14,791.08	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $4,897.79	Facility		$1,737.80	$2,511.89	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,235.94	Professional		$1,819.70	$2,454.71	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $263.03 / $1,737.80	Professional		$32.36	$263.03	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,890.45	Professional		$2,238.72	$2,238.72	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,365.16	Facility		$1,862.09	$2,511.89	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,265.80	Professional		$1,905.46	$2,691.53	$4,265.80
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 $1,621.81 / $2,137.96 / $3,311.31	Professional		$1,621.81	$2,137.96	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $1,862.09	Professional		$1,737.80	$1,862.09	$1,862.09