Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $12,882.50	Facility		$1,071.52	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,737.80	Professional		$912.01	$1,047.13	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $15,135.61	Facility		$4,168.69	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,513.56	Professional		$870.96	$1,071.52	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,000.00	Facility		$933.25	$933.25	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $4,897.79	Facility		$1,621.81	$3,890.45	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,041.74	Professional		$724.44	$1,202.26	$2,041.74
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 $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,162.28	Facility		$912.01	$1,288.25	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,737.80	Professional		$912.01	$1,071.52	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $2,570.40	Professional		$870.96	$1,819.70	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,187.76	Facility		$912.01	$1,258.93	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,230.27 / $2,238.72	Professional		$660.69	$1,230.27	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,621.81	Professional		$776.25	$1,047.13	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,174.90	Professional		$724.44	$1,000.00	$1,174.90