Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,754.23	Professional		$1,513.56	$1,778.28	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $18,620.87	Facility		$1,819.70	$3,090.30	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,238.72	Professional		$1,288.25	$1,621.81	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,659.59	Facility		$79.43	$1,621.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,630.78	Professional		$1,698.24	$2,344.23	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $24,547.09	Facility		$54.95	$56.23	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $14,454.40 / $14,454.40	Professional		$11,748.98	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,630.27 / $7,244.36	Facility		$1,096.48	$2,630.27	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,019.95	Professional		$1,548.82	$2,187.76	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $213.80 / $1,412.54	Professional		$32.36	$213.80	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,388.44	Facility		$1,584.89	$2,089.30	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,630.78	Professional		$1,621.81	$2,344.23	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,019.95	Professional		$1,445.44	$1,905.46	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,737.80	Professional		$1,621.81	$1,737.80	$1,737.80