Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $14,791.08	Facility		$1,122.02	$4,265.80	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Professional		$831.76	$977.24	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $14,791.08	Facility		$4,265.80	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,174.90	Professional		$831.76	$891.25	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
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 $912.01 / $1,230.27 / $2,041.74	Professional		$912.01	$1,230.27	$2,041.74
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 $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $6,918.31	Facility		$870.96	$1,479.11	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,479.11	Professional		$851.14	$1,096.48	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,905.46 / $2,398.83	Professional		$5.01	$1,905.46	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,137.96	Facility		$851.14	$1,230.27	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,995.26	Professional		$851.14	$1,230.27	$1,995.26
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 $758.58 / $1,047.13 / $1,584.89	Professional		$758.58	$1,047.13	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Professional		$794.33	$831.76	$831.76