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 $1,047.13 / $1,288.25 / $1,905.46	Professional		$1,047.13	$1,288.25	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,479.11	Professional		$1,071.52	$1,148.15	$1,479.11
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 $1,122.02 / $1,479.11 / $2,398.83	Professional		$1,122.02	$1,479.11	$2,398.83
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 $8,511.38 / $9,772.37 / $9,772.37	Professional		$8,511.38	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $5,128.61	Facility		$1,047.13	$1,698.24	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,949.84	Professional		$1,096.48	$1,412.54	$1,949.84
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 / $2,238.72 / $3,090.30	Professional		$5.01	$2,238.72	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,570.40	Facility		$1,071.52	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,398.83	Professional		$1,071.52	$1,513.56	$2,398.83
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 $912.01 / $1,258.93 / $1,905.46	Professional		$912.01	$1,258.93	$1,905.46
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