Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,022.64	Facility		$870.96	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,122.02	Professional		$616.60	$724.44	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $8,128.31	Facility		$2,290.87	$4,365.16	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,071.52	Professional		$630.96	$794.33	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,479.11	Professional		$676.08	$912.01	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $4,677.35	Facility		$660.69	$1,047.13	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,148.15	Professional		$645.65	$851.14	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,412.54 / $1,819.70	Professional		$5.01	$1,412.54	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Facility		$630.96	$870.96	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,479.11	Professional		$630.96	$912.01	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,148.15	Professional		$562.34	$758.58	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $630.96 / $630.96	Professional		$602.56	$630.96	$630.96