Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,890.45 / $12,882.50	Facility		$1,071.52	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,621.81	Professional		$851.14	$1,000.00	$1,621.81
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 $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $851.14	Facility		$812.83	$812.83	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $4,168.69	Facility		$1,513.56	$3,548.13	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,905.46	Professional		$707.95	$1,148.15	$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 $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,019.95	Facility		$851.14	$1,202.26	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,513.56	Professional		$831.76	$977.24	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $2,398.83	Professional		$912.01	$1,737.80	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,041.74	Facility		$851.14	$1,174.90	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,041.74	Professional		$645.65	$1,148.15	$2,041.74
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 $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 $691.83 / $851.14 / $1,000.00	Professional		$691.83	$851.14	$1,000.00