Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $10,232.93	Facility		$1,230.27	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Professional		$1,995.26	$2,290.87	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,709.64	Facility		$2,290.87	$3,801.89	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,235.94	Professional		$1,698.24	$2,238.72	$3,235.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Facility		$1,905.46	$1,905.46	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,548.13	Facility		$891.25	$2,511.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $4,570.88	Professional		$1,698.24	$2,754.23	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $19,054.61	Facility		$2,818.38	$10,232.93	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $17,378.01 / $17,378.01	Professional		$15,135.61	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $5,128.61	Facility		$1,949.84	$2,691.53	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,467.37	Professional		$1,949.84	$2,238.72	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $6,918.31	Professional		$2,290.87	$4,265.80	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,677.35	Facility		$1,995.26	$2,691.53	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $4,897.79	Professional		$1,380.38	$2,754.23	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,232.93	Facility		$407.38	$2,290.87	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,548.13	Professional		$1,778.28	$2,344.23	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,344.23	Professional		$1,621.81	$1,995.26	$2,344.23