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 / $12,022.64	Facility		$1,096.48	$3,801.89	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $6,025.60	Professional		$3,467.37	$3,981.07	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $5,754.40	Professional		$3,235.94	$4,073.80	$5,754.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,715.35	Facility		$3,388.44	$3,388.44	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $6,309.57	Facility		$891.25	$2,511.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $7,943.28	Professional		$2,951.21	$4,897.79	$7,943.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $66,069.34	Facility		$2,818.38	$2,818.38	$66,069.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $31,622.78 / $31,622.78	Professional		$26,302.68	$31,622.78	$31,622.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $8,709.64	Facility		$2,818.38	$4,466.84	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $6,165.95	Professional		$3,467.37	$3,981.07	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $229.09 / $3,090.30	Professional		$32.36	$229.09	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $6,918.31 / $9,120.11	Professional		$15.14	$6,918.31	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $8,317.64	Facility		$3,467.37	$4,466.84	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $8,709.64	Professional		$2,398.83	$4,897.79	$8,709.64
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 $3,162.28 / $4,265.80 / $6,606.93	Professional		$3,162.28	$4,265.80	$6,606.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,168.69	Professional		$2,818.38	$3,715.35	$4,168.69