Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $12,882.50	Facility		$1,148.15	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,344.23	Professional		$1,174.90	$1,412.54	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,709.64	Facility		$2,570.40	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,137.96	Professional		$1,258.93	$1,584.89	$2,137.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,288.25	Facility		$79.43	$1,258.93	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,754.23	Professional		$1,288.25	$1,737.80	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,748.98 / $11,748.98	Professional		$10,232.93	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $4,466.84	Facility		$1,258.93	$1,778.28	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,398.83	Professional		$1,230.27	$1,698.24	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $177.83 / $1,174.90	Professional		$32.36	$177.83	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,570.40	Professional		$977.24	$977.24	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,884.03	Facility		$1,288.25	$1,698.24	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,818.38	Professional		$1,258.93	$1,737.80	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,137.96	Professional		$1,047.13	$1,412.54	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,348.96	Professional		$1,258.93	$1,348.96	$1,348.96