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 $2,630.27 / $2,951.21 / $4,570.88	Professional		$2,630.27	$2,951.21	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,168.69	Professional		$2,454.71	$3,162.28	$4,168.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,511.89	Facility		$2,344.23	$2,344.23	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $4,570.88	Facility		$891.25	$2,511.89	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $5,754.40	Professional		$2,089.30	$3,467.37	$5,754.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,884.42	Facility		$54.95	$56.23	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $22,908.68 / $22,908.68	Professional		$19,498.45	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $6,025.60	Facility		$2,398.83	$3,311.31	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,265.80	Professional		$2,511.89	$2,951.21	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,248.07 / $7,079.46	Professional		$2,511.89	$5,248.07	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,888.44	Facility		$2,511.89	$3,311.31	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $6,165.95	Professional		$1,819.70	$3,467.37	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,570.88	Professional		$2,290.87	$3,019.95	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,951.21	Professional		$2,089.30	$2,511.89	$2,951.21