Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,122.02	Professional		$588.84	$691.83	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $10,000.00	Facility		$2,818.38	$5,623.41	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,000.00	Professional		$575.44	$724.44	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
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 $630.96 / $851.14 / $1,318.26	Professional		$630.96	$851.14	$1,318.26
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 $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $4,365.16	Facility		$630.96	$1,023.29	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,047.13	Professional		$616.60	$794.33	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,202.26 / $1,584.89	Professional		$3.02	$1,202.26	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,479.11	Facility		$602.56	$831.76	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,318.26	Professional		$630.96	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $588.84	Professional		$562.34	$588.84	$588.84