Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $12,882.50	Facility		$1,023.29	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,412.54	Professional		$724.44	$851.14	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $19,054.61 / $41,686.94	Facility		$5,128.61	$19,054.61	$41,686.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $741.31 / $758.58	Facility		$79.43	$741.31	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,778.28	Professional		$812.83	$1,096.48	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $54,954.09	Facility		$42,657.95	$42,657.95	$54,954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,079.46 / $7,079.46	Professional		$6,606.93	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $4,365.16	Facility		$794.33	$1,148.15	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,380.38	Professional		$741.31	$1,023.29	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $104.71 / $707.95	Professional		$32.36	$104.71	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $2,818.38	Professional		$1,096.48	$2,754.23	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Facility		$794.33	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,737.80	Professional		$758.58	$1,096.48	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,454.40	Facility		$2,187.76	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,318.26	Professional		$660.69	$870.96	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Professional		$741.31	$794.33	$794.33