Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,019.95	Professional		$1,513.56	$1,778.28	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $12,589.25	Facility		$1,778.28	$2,951.21	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,513.56 / $1,548.82	Facility		$79.43	$1,513.56	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,630.78	Professional		$1,698.24	$2,290.87	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $16,982.44	Professional		$14,454.40	$14,454.40	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $4,677.35	Facility		$1,479.11	$2,238.72	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,754.23	Professional		$1,548.82	$2,089.30	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $218.78 / $1,445.44	Professional		$32.36	$218.78	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,235.94	Professional		$2,187.76	$2,187.76	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,715.35	Facility		$1,584.89	$2,187.76	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,548.13	Professional		$1,584.89	$2,290.87	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,818.38	Professional		$1,380.38	$1,862.09	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81