Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,235.94 / $8,317.64	Facility		$912.01	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,621.81	Professional		$870.96	$1,023.29	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $12,882.50	Facility		$3,548.13	$6,760.83	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,258.93	Professional		$724.44	$912.01	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $28,840.32 / $28,840.32	Facility		$14,454.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $4,466.84	Facility		$851.14	$1,412.54	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,513.56	Professional		$891.25	$1,148.15	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,778.28 / $2,344.23	Professional		$3.02	$1,778.28	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,187.76	Facility		$891.25	$1,230.27	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Professional		$812.83	$870.96	$870.96