Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,344.23	Professional		$1,288.25	$1,548.82	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,332.54 / $18,197.01	Facility		$4,466.84	$9,332.54	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,290.87	Professional		$1,348.96	$1,698.24	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,318.26	Facility		$79.43	$1,288.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,019.95	Professional		$1,348.96	$1,905.46	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,982.44	Facility		$1,995.26	$1,995.26	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,589.25 / $12,589.25	Professional		$10,471.29	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $4,073.80	Facility		$1,122.02	$1,737.80	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,398.83	Professional		$1,288.25	$1,778.28	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $186.21 / $1,258.93	Professional		$32.36	$186.21	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,951.21	Facility		$1,202.26	$1,621.81	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,090.30	Professional		$1,288.25	$1,905.46	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United 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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38