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 $1,047.13 / $1,202.26 / $1,819.70	Professional		$1,047.13	$1,202.26	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $14,791.08	Facility		$4,365.16	$7,943.28	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,479.11	Professional		$1,071.52	$1,122.02	$1,479.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
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 $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,772.37 / $9,772.37	Professional		$9,549.93	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $5,495.41	Facility		$1,047.13	$1,737.80	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,862.09	Professional		$1,071.52	$1,380.38	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,570.40 / $3,019.95	Professional		$5.01	$2,570.40	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,818.38	Facility		$1,071.52	$1,513.56	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,454.71	Professional		$1,096.48	$1,513.56	$2,454.71
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 $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,047.13	Professional		$977.24	$1,047.13	$1,047.13