Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,168.69 / $14,125.38	Facility		$1,096.48	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,096.48	Professional		$602.56	$741.31	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $14,791.08	Facility		$4,365.16	$7,943.28	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,000.00	Professional		$549.54	$616.60	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
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 $616.60 / $831.76 / $1,348.96	Professional		$616.60	$831.76	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $6,456.54	Facility		$645.65	$1,096.48	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,148.15	Professional		$660.69	$831.76	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,288.25 / $1,819.70	Professional		$5.01	$1,288.25	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,479.11	Facility		$602.56	$831.76	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38
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 $512.86 / $691.83 / $1,071.52	Professional		$512.86	$691.83	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $630.96	Professional		$588.84	$630.96	$630.96