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 $776.25 / $1,000.00 / $1,584.89	Professional		$776.25	$1,000.00	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $5,128.61	Facility		$1,047.13	$2,884.03	$5,128.61
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 $776.25 / $776.25 / $812.83	Facility		$776.25	$776.25	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,584.89	Professional		$812.83	$1,071.52	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $45,708.82 / $45,708.82	Facility		$6,025.60	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,413.10 / $7,413.10	Professional		$6,456.54	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $4,786.30	Facility		$794.33	$1,202.26	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,698.24	Facility		$794.33	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$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 $630.96 / $851.14 / $1,230.27	Professional		$630.96	$851.14	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Professional		$758.58	$812.83	$812.83