Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,290.87	Professional		$1,174.90	$1,479.11	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,187.76	Professional		$1,122.02	$1,412.54	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
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 $1,258.93 / $1,737.80 / $2,884.03	Professional		$1,258.93	$1,737.80	$2,884.03
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 $10,715.19 / $12,589.25 / $12,589.25	Professional		$10,715.19	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,570.88	Facility		$1,148.15	$1,819.70	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,630.27	Professional		$1,174.90	$1,584.89	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,951.21 / $3,890.45	Professional		$5.01	$2,951.21	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,090.30	Facility		$1,202.26	$1,698.24	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,884.03	Professional		$1,258.93	$1,778.28	$2,884.03
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 $1,071.52 / $1,513.56 / $2,344.23	Professional		$1,071.52	$1,513.56	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Professional		$1,412.54	$1,513.56	$1,513.56