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 $1,548.82 / $1,949.84 / $2,754.23	Professional		$1,548.82	$1,949.84	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $14,125.38	Facility		$4,265.80	$7,413.10	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,630.27	Professional		$1,548.82	$1,905.46	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,548.13	Professional		$1,778.28	$2,290.87	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,791.08 / $14,791.08	Professional		$12,022.64	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,570.40 / $6,918.31	Facility		$977.24	$2,570.40	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,818.38	Professional		$1,698.24	$2,238.72	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,754.40 / $6,165.95	Professional		$5,623.41	$5,754.40	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,073.80	Facility		$1,621.81	$2,187.76	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,548.13	Professional		$1,737.80	$2,290.87	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,951.21	Professional		$1,380.38	$1,905.46	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24