Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $7,943.28	Facility		$954.99	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,698.24	Professional		$891.25	$1,122.02	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,488.17	Facility		$3,981.07	$7,413.10	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $1,174.90	Professional		$263.03	$309.03	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
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 $1,000.00 / $1,288.25 / $2,137.96	Professional		$1,000.00	$1,288.25	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $4,365.16	Facility		$912.01	$1,479.11	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,698.24	Professional		$954.99	$1,258.93	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,041.74 / $2,630.27	Professional		$6.03	$2,041.74	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,238.72	Facility		$933.25	$1,318.26	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,089.30	Professional		$933.25	$1,318.26	$2,089.30
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 $812.83 / $1,122.02 / $1,698.24	Professional		$812.83	$1,122.02	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Professional		$891.25	$954.99	$954.99