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 $1,122.02 / $1,380.38 / $2,137.96	Professional		$1,122.02	$1,380.38	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,511.38 / $16,595.87	Facility		$4,168.69	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,862.09	Professional		$977.24	$1,202.26	$1,862.09
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 Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,232.93 / $10,232.93	Professional		$8,912.51	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $4,677.35	Facility		$1,047.13	$1,819.70	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,905.46	Professional		$1,148.15	$1,479.11	$1,905.46
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 / $2,398.83 / $3,090.30	Professional		$5.01	$2,398.83	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,818.38	Facility		$1,122.02	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,570.40	Professional		$1,148.15	$1,621.81	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,137.96	Professional		$1,023.29	$1,380.38	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,096.48	Professional		$1,023.29	$1,096.48	$1,096.48