Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $12,882.50	Facility		$1,071.52	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,513.56	Professional		$812.83	$1,000.00	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,754.40 / $10,471.29	Facility		$2,290.87	$5,754.40	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,348.96	Professional		$812.83	$1,023.29	$1,348.96
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 $2,570.40 / $2,570.40 / $2,691.53	Facility		$2,570.40	$2,570.40	$2,691.53
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 $11,748.98 / $33,884.42 / $33,884.42	Facility		$11,748.98	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,244.36 / $7,244.36	Professional		$6,309.57	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $5,248.07	Facility		$794.33	$1,202.26	$5,248.07
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 $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,621.81	Facility		$794.33	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,659.59	Professional		$812.83	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,318.26	Professional		$676.08	$891.25	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Professional		$741.31	$776.25	$776.25