Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $11,481.54	Facility		$977.24	$3,715.35	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,348.96 / $2,290.87	Professional		$416.87	$1,348.96	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,918.31 / $13,803.84	Facility		$3,981.07	$6,918.31	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,412.54 / $2,454.71	Professional		$436.52	$1,412.54	$2,454.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $7,943.28	Facility		$4,073.80	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,479.11 / $3,235.94	Professional		$467.74	$1,479.11	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $50,118.72 / $50,118.72	Facility		$15,848.93	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,182.57 / $13,182.57	Professional		$12,302.69	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,905.46 / $5,248.07	Facility		$478.63	$1,905.46	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,479.11 / $2,818.38	Professional		$446.68	$1,479.11	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4,073.80 / $4,897.79	Professional		$3.98	$4,073.80	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,584.89 / $3,715.35	Facility		$436.52	$1,584.89	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,479.11 / $3,235.94	Professional		$467.74	$1,479.11	$3,235.94
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 $398.11 / $1,288.25 / $2,818.38	Professional		$398.11	$1,288.25	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,584.89	Professional		$1,513.56	$1,584.89	$1,584.89