Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $14,454.40	Facility		$1,174.90	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,715.35	Professional		$1,862.09	$2,290.87	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $13,489.63	Facility		$1,995.26	$3,388.44	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,630.78	Professional		$2,137.96	$2,691.53	$3,630.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,187.76 / $2,290.87	Facility		$79.43	$2,187.76	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $4,466.84	Professional		$2,041.74	$2,884.03	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,442.29	Facility		$5,011.87	$5,011.87	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $20,892.96 / $20,892.96	Professional		$16,595.87	$20,892.96	$20,892.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $6,918.31	Facility		$1,584.89	$2,951.21	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,073.80	Professional		$1,949.84	$2,951.21	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,265.80	Professional		$1,949.84	$1,949.84	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,365.16	Facility		$2,089.30	$2,754.23	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,570.88	Professional		$1,995.26	$2,884.03	$4,570.88
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 $1,737.80 / $2,290.87 / $3,630.78	Professional		$1,737.80	$2,290.87	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $2,454.71	Professional		$2,187.76	$2,454.71	$2,454.71