Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $7,943.28	Facility		$954.99	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,041.74	Professional		$1,023.29	$1,230.27	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $8,317.64	Facility		$2,454.71	$4,365.16	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,905.46	Professional		$1,122.02	$1,380.38	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,230.27	Facility		$79.43	$1,174.90	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,454.71	Professional		$1,122.02	$1,548.82	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $10,964.78	Professional		$8,511.38	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,715.35	Facility		$1,047.13	$1,548.82	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,187.76	Professional		$1,023.29	$1,548.82	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $144.54 / $1,047.13	Professional		$32.36	$144.54	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,238.72	Professional		$1,202.26	$1,202.26	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,511.89	Facility		$1,096.48	$1,445.44	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,454.71	Professional		$1,096.48	$1,548.82	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,905.46	Professional		$954.99	$1,258.93	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25