Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,365.16 / $12,022.64	Facility		$1,122.02	$4,365.16	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,380.38	Professional		$691.83	$851.14	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $15,488.17	Facility		$4,365.16	$7,762.47	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,318.26	Professional		$616.60	$912.01	$1,318.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $42,657.95 / $42,657.95	Facility		$27,542.29	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $7,079.46	Facility		$758.58	$1,412.54	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,659.59	Professional		$724.44	$977.24	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,548.82 / $1,995.26	Professional		$6.03	$1,548.82	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,819.70	Facility		$707.95	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,659.59	Professional		$741.31	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,709.64 / $17,782.79	Facility		$2,630.27	$8,709.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Professional		$660.69	$891.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $724.44	Professional		$676.08	$724.44	$724.44