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 $1,148.15 / $1,412.54 / $2,238.72	Professional		$1,148.15	$1,412.54	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,912.51 / $16,595.87	Facility		$4,466.84	$8,912.51	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,202.26	Facility		$79.43	$1,174.90	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,818.38	Professional		$1,288.25	$1,819.70	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $45,708.82 / $45,708.82	Facility		$17,378.01	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,220.18	Professional		$9,549.93	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $4,073.80	Facility		$1,174.90	$1,698.24	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,137.96	Professional		$1,148.15	$1,621.81	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,884.03	Facility		$1,230.27	$1,621.81	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $2,818.38	Professional		$1,230.27	$1,819.70	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,187.76	Professional		$1,071.52	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,258.93	Professional		$1,148.15	$1,258.93	$1,258.93