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 $1,548.82 / $1,862.09 / $3,162.28	Professional		$1,548.82	$1,862.09	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $10,000.00	Facility		$1,862.09	$3,090.30	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,630.27	Professional		$1,621.81	$1,905.46	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,548.82 / $1,584.89	Facility		$79.43	$1,548.82	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,630.78	Professional		$1,621.81	$2,238.72	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,135.61 / $15,135.61	Professional		$12,589.25	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $4,677.35	Facility		$1,230.27	$1,995.26	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,884.03	Professional		$1,548.82	$2,137.96	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $223.87 / $1,513.56	Professional		$32.36	$223.87	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,311.31	Professional		$1,479.11	$1,479.11	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,548.13	Facility		$1,318.26	$1,905.46	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,715.35	Professional		$1,548.82	$2,290.87	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,754.23	Professional		$1,258.93	$1,778.28	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,659.59	Professional		$1,548.82	$1,659.59	$1,659.59