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 $707.95 / $831.76 / $1,348.96	Professional		$707.95	$831.76	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $15,488.17	Facility		$4,365.16	$7,762.47	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,202.26	Professional		$676.08	$870.96	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $776.25	Facility		$707.95	$707.95	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $3,548.13	Facility		$891.25	$1,318.26	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,584.89	Professional		$660.69	$977.24	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $13,489.63	Facility		$2,818.38	$10,232.93	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $7,079.46	Facility		$758.58	$1,445.44	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Professional		$707.95	$831.76	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $1,949.84	Professional		$870.96	$1,445.44	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Facility		$741.31	$977.24	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,737.80	Professional		$616.60	$977.24	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $16,982.44	Facility		$2,630.27	$8,128.31	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,258.93	Professional		$616.60	$831.76	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $891.25	Professional		$588.84	$776.25	$891.25