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 $1,047.13 / $1,348.96 / $2,137.96	Professional		$1,047.13	$1,348.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,905.46	Professional		$1,148.15	$1,412.54	$1,905.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,071.52	Facility		$1,023.29	$1,023.29	$1,071.52
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 $1,122.02 / $1,479.11 / $2,238.72	Professional		$1,122.02	$1,479.11	$2,238.72
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 $8,709.64 / $10,000.00 / $10,000.00	Professional		$8,709.64	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $4,786.30	Facility		$1,000.00	$1,479.11	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,949.84	Professional		$1,148.15	$1,479.11	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,137.96	Facility		$1,071.52	$1,348.96	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,238.72	Professional		$1,047.13	$1,479.11	$2,238.72
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 $870.96 / $1,174.90 / $1,698.24	Professional		$870.96	$1,174.90	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,071.52	Professional		$1,023.29	$1,071.52	$1,071.52