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 $954.99 / $1,096.48 / $1,862.09	Professional		$954.99	$1,096.48	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,659.59	Professional		$977.24	$1,230.27	$1,659.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $954.99 / $977.24	Facility		$79.43	$954.99	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,238.72	Professional		$1,023.29	$1,412.54	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $38,018.94	Facility		$33,884.42	$33,884.42	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $4,073.80	Facility		$977.24	$1,412.54	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,778.28	Professional		$954.99	$1,318.26	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $134.90 / $912.01	Professional		$32.36	$134.90	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,995.26	Professional		$1,445.44	$1,445.44	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,290.87	Facility		$1,000.00	$1,348.96	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,187.76	Professional		$977.24	$1,412.54	$2,187.76
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 $831.76 / $1,096.48 / $1,737.80	Professional		$831.76	$1,096.48	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29