Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $12,022.64	Facility		$1,096.48	$4,265.80	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,096.48	Professional		$616.60	$707.95	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,489.63 / $25,703.96	Facility		$7,413.10	$13,489.63	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,023.29	Professional		$575.44	$707.95	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $7,585.78 / $7,585.78	Facility		$616.60	$7,585.78	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,332.54 / $10,000.00	Facility		$1,122.02	$9,332.54	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $39,810.72	Facility		$2,818.38	$2,818.38	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $7,079.46	Facility		$645.65	$1,096.48	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,122.02	Professional		$616.60	$707.95	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,174.90 / $1,659.59	Professional		$7.08	$1,174.90	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,513.56	Facility		$616.60	$794.33	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,548.82	Professional		$562.34	$851.14	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,128.31 / $17,378.01	Facility		$2,570.40	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,148.15	Professional		$549.54	$741.31	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $758.58	Professional		$549.54	$660.69	$758.58