Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $14,125.38	Facility		$1,288.25	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,454.71	Professional		$1,348.96	$1,621.81	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,235.94	Professional		$1,479.11	$1,995.26	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $13,182.57 / $13,182.57	Professional		$11,220.18	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $6,456.54	Facility		$1,380.38	$2,137.96	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,162.28 / $4,168.69	Professional		$5.01	$3,162.28	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,388.44	Facility		$1,412.54	$1,949.84	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,235.94	Professional		$1,445.44	$2,041.74	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,570.40	Professional		$1,258.93	$1,737.80	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,445.44	Professional		$1,380.38	$1,445.44	$1,445.44