Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $12,022.64	Facility		$954.99	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,513.56	Professional		$741.31	$954.99	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $9,549.93	Facility		$2,884.03	$5,128.61	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
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 $758.58 / $1,000.00 / $1,479.11	Professional		$758.58	$1,000.00	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,918.31 / $6,918.31	Professional		$6,165.95	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $4,786.30	Facility		$758.58	$1,071.52	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,513.56	Facility		$741.31	$954.99	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82
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 $588.84 / $794.33 / $1,148.15	Professional		$588.84	$794.33	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Professional		$741.31	$776.25	$776.25