Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,137.96	Professional		$1,148.15	$1,412.54	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,762.47	Facility		$2,238.72	$4,265.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,584.89	Professional		$1,148.15	$1,202.26	$1,584.89
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 $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $42,657.95 / $42,657.95	Facility		$10,000.00	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,471.29 / $10,471.29	Professional		$9,120.11	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $5,623.41	Facility		$1,122.02	$1,862.09	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,511.89 / $3,235.94	Professional		$6.03	$2,511.89	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,818.38	Facility		$1,148.15	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,630.27	Professional		$1,174.90	$1,659.59	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,137.96	Professional		$1,023.29	$1,412.54	$2,137.96
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