Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,818.38	Professional		$1,548.82	$1,819.70	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $9,772.37	Facility		$1,819.70	$3,090.30	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,754.23	Professional		$1,621.81	$1,995.26	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,548.82 / $1,584.89	Facility		$79.43	$1,548.82	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,630.78	Professional		$1,479.11	$2,238.72	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,135.61 / $15,135.61	Professional		$12,589.25	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $4,677.35	Facility		$1,096.48	$1,995.26	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,884.03	Professional		$1,548.82	$2,137.96	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $223.87 / $1,513.56	Professional		$32.36	$223.87	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,311.31	Professional		$1,258.93	$1,258.93	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,548.13	Facility		$1,096.48	$1,862.09	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,630.78	Professional		$1,479.11	$2,290.87	$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 $1,122.02 / $1,778.28 / $2,754.23	Professional		$1,122.02	$1,778.28	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,659.59	Professional		$1,548.82	$1,659.59	$1,659.59