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 $812.83 / $1,023.29 / $1,621.81	Professional		$812.83	$1,023.29	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $9,549.93	Facility		$2,818.38	$5,011.87	$9,549.93
BCBS 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
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $831.76	Facility		$794.33	$794.33	$831.76
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 $831.76 / $1,071.52 / $1,621.81	Professional		$831.76	$1,071.52	$1,621.81
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 $6,606.93 / $7,585.78 / $7,585.78	Professional		$6,606.93	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $4,786.30	Facility		$812.83	$1,174.90	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,548.82	Professional		$912.01	$1,096.48	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,659.59	Facility		$812.83	$1,047.13	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,659.59	Professional		$794.33	$1,096.48	$1,659.59
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 $645.65 / $870.96 / $1,258.93	Professional		$645.65	$870.96	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Professional		$794.33	$831.76	$831.76