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 $1,071.52 / $1,348.96 / $2,041.74	Professional		$1,071.52	$1,348.96	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $8,912.51	Facility		$2,754.23	$4,897.79	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,778.28	Professional		$912.01	$1,148.15	$1,778.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,511.89	Professional		$1,202.26	$1,584.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,128.31	Facility		$54.95	$56.23	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $6,760.83	Facility		$1,096.48	$1,862.09	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,949.84	Professional		$1,096.48	$1,479.11	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $2,398.83 / $2,951.21	Professional		$3.02	$2,398.83	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,754.23	Facility		$1,122.02	$1,621.81	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,511.89	Professional		$1,174.90	$1,584.89	$2,511.89
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 $977.24 / $1,348.96 / $2,089.30	Professional		$977.24	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional		$1,047.13	$1,096.48	$1,096.48