Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $12,882.50	Facility		$1,071.52	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,445.44	Professional		$741.31	$870.96	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $9,120.11 / $15,848.93	Facility		$3,162.28	$9,120.11	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,288.25	Professional		$758.58	$933.25	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Facility		$575.44	$575.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,698.24	Professional		$812.83	$1,096.48	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,079.46 / $7,079.46	Professional		$6,309.57	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $4,265.80	Facility		$812.83	$1,174.90	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,479.11	Professional		$758.58	$1,047.13	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $707.95	Professional		$32.36	$107.15	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,951.21 / $3,019.95	Professional		$1,122.02	$2,951.21	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,778.28	Facility		$812.83	$1,096.48	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,698.24	Professional		$776.25	$1,071.52	$1,698.24
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 $660.69 / $870.96 / $1,348.96	Professional		$660.69	$870.96	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $812.83	Professional		$776.25	$812.83	$812.83