Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,344.23	Professional		$1,122.02	$1,584.89	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,187.76	Professional		$1,288.25	$1,621.81	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,754.23	Professional		$1,230.27	$1,737.80	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,022.64 / $12,022.64	Professional		$10,232.93	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $5,495.41	Facility		$1,148.15	$1,905.46	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,511.89	Professional		$1,318.26	$1,819.70	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,398.83 / $3,801.89	Professional		$5.01	$2,398.83	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,884.03	Facility		$1,258.93	$1,737.80	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,818.38	Professional		$1,230.27	$1,737.80	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,238.72	Professional		$1,071.52	$1,445.44	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38