Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $12,882.50	Facility		$1,148.15	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,089.30	Professional		$1,174.90	$1,445.44	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $15,488.17	Facility		$4,168.69	$7,413.10	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,905.46	Professional		$1,096.48	$1,380.38	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,754.23	Professional		$1,230.27	$1,621.81	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $33,884.42 / $33,884.42	Facility		$21,379.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $5,128.61	Facility		$1,096.48	$1,905.46	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,041.74	Professional		$1,230.27	$1,513.56	$2,041.74
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 / $3,235.94 / $3,890.45	Professional		$5.01	$3,235.94	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,884.03	Facility		$1,148.15	$1,621.81	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53
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 $1,023.29 / $1,445.44 / $2,187.76	Professional		$1,023.29	$1,445.44	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,148.15	Professional		$1,071.52	$1,148.15	$1,148.15