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 $1,047.13 / $1,230.27 / $2,041.74	Professional		$1,047.13	$1,230.27	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $9,120.11	Facility		$1,230.27	$2,041.74	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,819.70	Professional		$1,071.52	$1,348.96	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,071.52	Facility		$79.43	$1,047.13	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,511.89	Professional		$1,148.15	$1,584.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $10,000.00	Professional		$8,511.38	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $4,365.16	Facility		$1,071.52	$1,584.89	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,949.84	Professional		$1,047.13	$1,445.44	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $151.36 / $1,000.00	Professional		$32.36	$151.36	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,187.76	Professional		$1,513.56	$1,513.56	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,570.40	Facility		$1,096.48	$1,513.56	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,454.71	Professional		$1,096.48	$1,584.89	$2,454.71
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 $954.99 / $1,258.93 / $1,949.84	Professional		$954.99	$1,258.93	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,122.02	Professional		$1,023.29	$1,122.02	$1,122.02