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 / $2,454.71	Professional		$1,174.90	$1,548.82	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,471.29	Facility		$2,818.38	$5,011.87	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,089.30	Professional		$1,258.93	$1,584.89	$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 / $1,698.24 / $2,511.89	Professional		$1,288.25	$1,698.24	$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 $10,000.00 / $11,481.54 / $11,481.54	Professional		$10,000.00	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $6,165.95	Facility		$1,148.15	$1,778.28	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,238.72	Professional		$1,318.26	$1,584.89	$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 / $1,412.54	Professional		$1,174.90	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,511.89	Facility		$1,230.27	$1,548.82	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,570.40	Professional		$1,230.27	$1,698.24	$2,570.40
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 $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$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