Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $14,454.40	Facility		$1,148.15	$3,890.45	$14,454.40
Aetna 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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,949.84	Professional		$1,148.15	$1,479.11	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Facility		$1,174.90	$1,174.90	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $2,511.89	Facility		$891.25	$2,187.76	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,630.27	Professional		$1,023.29	$1,621.81	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $11,481.54	Facility		$5,370.32	$8,511.38	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $10,964.78	Professional		$8,912.51	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,630.78	Facility		$1,202.26	$1,621.81	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,089.30	Professional		$1,174.90	$1,380.38	$2,089.30
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 $1,230.27 / $2,238.72 / $3,019.95	Professional		$1,230.27	$2,238.72	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,818.38	Facility		$1,202.26	$1,584.89	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $2,884.03	Professional		$851.14	$1,621.81	$2,884.03
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 $1,023.29 / $1,380.38 / $2,089.30	Professional		$1,023.29	$1,380.38	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,445.44	Professional		$977.24	$1,258.93	$1,445.44