Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $12,882.50	Facility		$1,071.52	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,479.11	Professional		$812.83	$1,023.29	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,445.44	Professional		$851.14	$1,071.52	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
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 $891.25 / $1,174.90 / $1,905.46	Professional		$891.25	$1,174.90	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,943.28 / $7,943.28	Professional		$7,244.36	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $5,495.41	Facility		$891.25	$1,348.96	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,621.81	Professional		$912.01	$1,202.26	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,862.09 / $2,454.71	Professional		$6.03	$1,862.09	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,995.26	Facility		$851.14	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,905.46	Professional		$851.14	$1,174.90	$1,905.46
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 $724.44 / $1,000.00 / $1,513.56	Professional		$724.44	$1,000.00	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $891.25	Professional		$851.14	$891.25	$891.25