Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,511.89	Professional		$1,258.93	$1,513.56	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $6,760.83	Facility		$1,778.28	$3,311.31	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,454.71	Professional		$1,412.54	$1,737.80	$2,454.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,479.11 / $1,548.82	Facility		$79.43	$1,479.11	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,951.21	Professional		$1,380.38	$1,995.26	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $45,708.82 / $45,708.82	Facility		$10,232.93	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $13,803.84	Professional		$10,715.19	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $4,073.80	Facility		$1,288.25	$1,862.09	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,691.53	Professional		$1,258.93	$1,949.84	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,818.38	Professional		$1,621.81	$1,621.81	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,162.28	Facility		$1,348.96	$1,819.70	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,019.95	Professional		$1,348.96	$1,995.26	$3,019.95
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 $1,174.90 / $1,584.89 / $2,398.83	Professional		$1,174.90	$1,584.89	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $1,621.81	Professional		$1,445.44	$1,621.81	$1,621.81