Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,137.96	Professional		$1,096.48	$1,288.25	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $12,882.50	Facility		$1,258.93	$2,137.96	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,905.46	Professional		$1,122.02	$1,412.54	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,122.02	Facility		$79.43	$1,096.48	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,772.37	Facility		$54.95	$56.23	$9,772.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $4,365.16	Facility		$1,096.48	$1,621.81	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,995.26	Professional		$1,096.48	$1,445.44	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $154.88 / $1,047.13	Professional		$32.36	$154.88	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Professional		$1,548.82	$1,548.82	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,630.27	Facility		$1,148.15	$1,548.82	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,570.40	Professional		$1,122.02	$1,621.81	$2,570.40
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 $977.24 / $1,318.26 / $1,995.26	Professional		$977.24	$1,318.26	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90