Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $14,454.40	Facility		$1,174.90	$3,981.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,090.30	Professional		$1,621.81	$1,905.46	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $19,498.45	Facility		$1,949.84	$3,311.31	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,818.38	Professional		$1,659.59	$2,089.30	$2,818.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,698.24 / $1,778.28	Facility		$79.43	$1,698.24	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,890.45	Professional		$1,819.70	$2,454.71	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $5,011.87	Facility		$1,584.89	$2,398.83	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,162.28	Professional		$1,659.59	$2,290.87	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $234.42 / $1,548.82	Professional		$32.36	$234.42	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $6,456.54	Professional		$2,238.72	$6,309.57	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,981.07	Facility		$1,778.28	$2,398.83	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,890.45	Professional		$1,698.24	$2,454.71	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,988.33	Facility		$4,570.88	$10,964.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,019.95	Professional		$1,479.11	$1,949.84	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09