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 $776.25 / $977.24 / $1,445.44	Professional		$776.25	$977.24	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $9,120.11	Facility		$2,454.71	$4,365.16	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,380.38	Professional		$794.33	$1,000.00	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,778.28	Professional		$831.76	$1,122.02	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,244.36 / $7,244.36	Professional		$6,760.83	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $4,677.35	Facility		$812.83	$1,288.25	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,412.54	Professional		$851.14	$1,071.52	$1,412.54
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 / $1,659.59 / $2,290.87	Professional		$5.01	$1,659.59	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,949.84	Facility		$794.33	$1,071.52	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Professional		$676.08	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Professional		$741.31	$794.33	$794.33