Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,454.71	Professional		$1,318.26	$1,584.89	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,025.60 / $9,332.54	Facility		$1,148.15	$6,025.60	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,412.54	Facility		$79.43	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,090.30	Professional		$1,479.11	$1,995.26	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $42,657.95 / $42,657.95	Facility		$9,772.37	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,570.88	Facility		$1,318.26	$1,905.46	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,630.27	Professional		$1,380.38	$1,905.46	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $199.53 / $1,318.26	Professional		$32.36	$199.53	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,884.03	Professional		$1,698.24	$1,698.24	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,162.28	Facility		$1,412.54	$1,819.70	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,162.28	Professional		$1,412.54	$1,995.26	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,398.83	Professional		$1,174.90	$1,584.89	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56