Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $14,454.40	Facility		$1,258.93	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Professional		$1,258.93	$1,479.11	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,187.76	Professional		$1,258.93	$1,584.89	$2,187.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Facility		$1,258.93	$1,258.93	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,344.23 / $2,511.89	Facility		$891.25	$2,344.23	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,884.03	Professional		$1,122.02	$1,737.80	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $12,302.69	Facility		$5,370.32	$8,511.38	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,748.98 / $11,748.98	Professional		$9,772.37	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,715.35	Facility		$1,288.25	$1,737.80	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,290.87	Professional		$1,258.93	$1,479.11	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $3,235.94	Professional		$1,288.25	$2,398.83	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,884.03	Facility		$1,318.26	$1,698.24	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,090.30	Professional		$912.01	$1,737.80	$3,090.30
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 $1,122.02 / $1,513.56 / $2,290.87	Professional		$1,122.02	$1,513.56	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,548.82	Professional		$1,047.13	$1,348.96	$1,548.82