Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,890.45 / $12,882.50	Facility		$1,071.52	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,995.26	Professional		$933.25	$1,148.15	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $11,748.98	Facility		$1,148.15	$1,995.26	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,778.28	Professional		$1,047.13	$1,288.25	$1,778.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,174.90	Facility		$79.43	$1,122.02	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,187.76	Professional		$1,047.13	$1,412.54	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $10,232.93	Professional		$7,943.28	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $4,365.16	Facility		$1,023.29	$1,445.44	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,089.30	Professional		$954.99	$1,479.11	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $977.24	Professional		$32.36	$147.91	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,089.30	Professional		$1,122.02	$1,122.02	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,290.87	Facility		$1,047.13	$1,348.96	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,238.72	Professional		$1,023.29	$1,445.44	$2,238.72
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 $870.96 / $1,174.90 / $1,778.28	Professional		$870.96	$1,174.90	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,230.27	Professional		$1,122.02	$1,230.27	$1,230.27