Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,398.83	Professional		$1,174.90	$1,548.82	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $9,772.37	Facility		$2,884.03	$5,011.87	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,089.30	Professional		$1,230.27	$1,548.82	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Facility		$1,174.90	$1,174.90	$1,230.27
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 $1,288.25 / $1,621.81 / $2,511.89	Professional		$1,288.25	$1,621.81	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $42,657.95 / $42,657.95	Facility		$9,332.54	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $6,165.95	Facility		$1,148.15	$1,737.80	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,238.72	Professional		$1,318.26	$1,659.59	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $1,348.96	Professional		$32.36	$169.82	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,479.11	Professional		$1,174.90	$1,348.96	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,454.71	Facility		$1,230.27	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
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 $977.24 / $1,348.96 / $1,905.46	Professional		$977.24	$1,348.96	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,230.27	Professional		$1,174.90	$1,230.27	$1,230.27