Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,511.89	Professional		$1,348.96	$1,698.24	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
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 $1,445.44 / $1,949.84 / $3,090.30	Professional		$1,445.44	$1,949.84	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,595.87	Facility		$1,995.26	$1,995.26	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,882.50 / $12,882.50	Professional		$11,220.18	$12,882.50	$12,882.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $8,511.38	Facility		$1,071.52	$2,570.40	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,511.89	Professional		$1,412.54	$1,862.09	$2,511.89
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 $6.03 / $6.03 / $3,981.07	Professional		$6.03	$6.03	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,311.31	Facility		$1,348.96	$1,819.70	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,090.30	Professional		$1,412.54	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,412.54	Professional		$1,318.26	$1,412.54	$1,412.54