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 / $13,489.63	Facility		$1,096.48	$4,265.80	$13,489.63
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 $3,162.28 / $7,762.47 / $15,488.17	Facility		$3,162.28	$7,762.47	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,041.74	Professional		$1,122.02	$1,445.44	$2,041.74
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 $891.25 / $11,748.98 / $30,902.95	Facility		$891.25	$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 $7,585.78 / $7,585.78 / $17,378.01	Facility		$7,585.78	$7,585.78	$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 / $5,128.61	Facility		$1,174.90	$1,737.80	$5,128.61
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 / $2,398.83 / $3,019.95	Professional		$1,288.25	$2,398.83	$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 $2,238.72 / $8,128.31 / $26,302.68	Facility		$2,238.72	$8,128.31	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,137.96	Professional		$1,047.13	$1,412.54	$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