Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,019.95 / $7,413.10	Facility		$870.96	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,949.84	Professional		$1,023.29	$1,258.93	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $6,456.54	Facility		$1,737.80	$3,090.30	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,819.70	Professional		$1,071.52	$1,318.26	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,071.52	Facility		$79.43	$1,047.13	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,454.71	Professional		$1,122.02	$1,621.81	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $28,840.32 / $28,840.32	Facility		$7,244.36	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $10,000.00	Professional		$8,511.38	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,715.35	Facility		$1,023.29	$1,548.82	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,905.46	Professional		$1,023.29	$1,445.44	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,187.76	Professional		$1,380.38	$1,380.38	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,570.40	Facility		$1,096.48	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,454.71	Professional		$1,096.48	$1,621.81	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,122.02	Professional		$1,023.29	$1,122.02	$1,122.02