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 $1,000.00 / $1,174.90 / $1,949.84	Professional		$1,000.00	$1,174.90	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $12,302.69	Facility		$1,148.15	$1,995.26	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Professional		$1,023.29	$1,288.25	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,023.29	Facility		$79.43	$1,000.00	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $9,549.93 / $9,549.93	Professional		$8,709.64	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $4,168.69	Facility		$1,023.29	$1,479.11	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,862.09	Professional		$1,000.00	$1,380.38	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $141.25 / $954.99	Professional		$32.36	$141.25	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $3,801.89	Professional		$1,445.44	$3,630.78	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,398.83	Facility		$1,047.13	$1,445.44	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,344.23	Professional		$1,023.29	$1,479.11	$2,344.23
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 $891.25 / $1,202.26 / $1,819.70	Professional		$891.25	$1,202.26	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,071.52	Professional		$977.24	$1,071.52	$1,071.52