Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $14,125.38	Facility		$1,288.25	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,630.27	Professional		$1,380.38	$1,698.24	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,290.87	Professional		$1,318.26	$1,584.89	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Facility		$1,949.84	$1,949.84	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,818.38	Professional		$1,412.54	$1,862.09	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $33,884.42 / $33,884.42	Facility		$10,232.93	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,302.69 / $12,302.69	Professional		$10,964.78	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $6,918.31	Facility		$1,288.25	$1,905.46	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,398.83	Professional		$1,445.44	$1,819.70	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $186.21 / $1,445.44	Professional		$32.36	$186.21	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,754.23	Facility		$1,380.38	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,884.03	Professional		$1,380.38	$1,862.09	$2,884.03
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 $1,122.02 / $1,513.56 / $2,187.76	Professional		$1,122.02	$1,513.56	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,318.26	Professional		$1,258.93	$1,318.26	$1,318.26