Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,737.80	Professional		$933.25	$1,174.90	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,585.78 / $14,454.40	Facility		$3,467.37	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,659.59	Professional		$933.25	$1,148.15	$1,659.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
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 $891.25 / $1,288.25 / $2,041.74	Professional		$891.25	$1,288.25	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $4,677.35	Facility		$891.25	$1,445.44	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,995.26	Professional		$1,023.29	$1,445.44	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,819.70 / $2,951.21	Professional		$5.01	$1,819.70	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,187.76	Facility		$851.14	$1,288.25	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,041.74	Professional		$891.25	$1,288.25	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,659.59	Professional		$812.83	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,071.52	Professional		$1,023.29	$1,071.52	$1,071.52