Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,715.35	Professional		$1,995.26	$2,398.83	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $23,442.29	Facility		$2,344.23	$3,981.07	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,467.37	Professional		$2,041.74	$2,570.40	$3,467.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,187.76	Facility		$2,041.74	$2,041.74	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,801.89	Facility		$891.25	$2,511.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $4,466.84	Professional		$1,737.80	$2,754.23	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,378.01	Facility		$54.95	$56.23	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $19,054.61 / $19,054.61	Professional		$17,378.01	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,248.07	Facility		$1,905.46	$2,754.23	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,715.35	Professional		$1,995.26	$2,398.83	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $5,623.41	Professional		$2,238.72	$4,168.69	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,897.79	Facility		$2,089.30	$2,754.23	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $5,128.61	Professional		$1,479.11	$2,754.23	$5,128.61
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 $1,778.28 / $2,344.23 / $3,630.78	Professional		$1,778.28	$2,344.23	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,511.89	Professional		$1,584.89	$2,187.76	$2,511.89