Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,995.26	Professional		$1,047.13	$1,288.25	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $14,454.40	Facility		$3,801.89	$6,918.31	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,905.46	Professional		$1,122.02	$1,412.54	$1,905.46
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 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 $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $6,025.60	Facility		$1,071.52	$1,819.70	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,949.84	Professional		$1,071.52	$1,445.44	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,398.83 / $3,090.30	Professional		$6.03	$2,398.83	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,754.23	Facility		$1,071.52	$1,584.89	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,570.40	Professional		$1,122.02	$1,621.81	$2,570.40
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 $1,023.29 / $1,348.96 / $2,089.30	Professional		$1,023.29	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02