Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,168.69 / $12,022.64	Facility		$1,047.13	$4,168.69	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,238.72	Professional		$1,174.90	$1,380.38	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $13,489.63	Facility		$1,318.26	$2,290.87	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,995.26	Professional		$1,174.90	$1,445.44	$1,995.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Facility		$1,174.90	$1,174.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $11,748.98 / $30,902.95	Facility		$2,187.76	$11,748.98	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,691.53	Professional		$1,071.52	$1,621.81	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $17,378.01	Facility		$4,466.84	$4,466.84	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,964.78 / $10,964.78	Professional		$9,772.37	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $5,011.87	Facility		$1,174.90	$1,737.80	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,187.76	Professional		$1,174.90	$1,380.38	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $3,019.95	Professional		$1,288.25	$2,290.87	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,818.38	Facility		$1,230.27	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,951.21	Professional		$1,000.00	$1,621.81	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,606.93 / $26,302.68	Facility		$1,698.24	$6,606.93	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,137.96	Professional		$1,047.13	$1,380.38	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,445.44	Professional		$977.24	$1,288.25	$1,445.44