Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,041.74	Professional		$1,122.02	$1,380.38	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,715.19 / $20,417.38	Facility		$5,754.40	$10,715.19	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,089.30	Professional		$1,202.26	$1,513.56	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,754.23	Professional		$1,288.25	$1,778.28	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,964.78 / $10,964.78	Professional		$9,332.54	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $6,025.60	Facility		$1,122.02	$1,905.46	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,089.30	Professional		$1,174.90	$1,548.82	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,570.40 / $3,311.31	Professional		$6.03	$2,570.40	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,951.21	Facility		$1,148.15	$1,698.24	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,754.23	Professional		$1,230.27	$1,778.28	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,290.87	Professional		$1,096.48	$1,479.11	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,202.26	Professional		$1,122.02	$1,202.26	$1,202.26