Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,715.35 / $12,882.50	Facility		$1,047.13	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,137.96	Professional		$977.24	$1,174.90	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $18,620.87 / $35,481.34	Facility		$8,511.38	$18,620.87	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Professional		$1,023.29	$1,288.25	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,023.29	Facility		$79.43	$1,000.00	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,290.87	Professional		$1,071.52	$1,479.11	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,549.93 / $9,549.93	Professional		$7,943.28	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $4,265.80	Facility		$1,023.29	$1,445.44	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,995.26	Professional		$1,000.00	$1,380.38	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $141.25 / $954.99	Professional		$32.36	$141.25	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,089.30	Professional		$1,174.90	$1,174.90	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,344.23	Facility		$1,047.13	$1,380.38	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,290.87	Professional		$1,023.29	$1,479.11	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,454.40	Facility		$2,187.76	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,778.28	Professional		$891.25	$1,174.90	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,071.52	Professional		$1,000.00	$1,071.52	$1,071.52