Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,691.53 / $8,317.64	Facility		$1,071.52	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,949.84	Professional		$977.24	$1,318.26	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $3,890.45 / $8,317.64	Facility		$10.23	$3,890.45	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $891.25 / $1,148.15	Professional		$5.01	$891.25	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,621.81	Facility		$79.43	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,691.53 / $7,079.46	Facility		$1,047.13	$2,691.53	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $2,951.21	Professional		$831.76	$1,659.59	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $12,302.69 / $12,302.69	Professional		$8,128.31	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,951.21	Facility		$977.24	$1,621.81	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $1,288.25 / $1,949.84	Professional		$7.94	$1,288.25	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $3,467.37	Professional		$1,621.81	$1,778.28	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,715.35	Facility		$977.24	$1,621.81	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,818.38	Professional		$831.76	$1,548.82	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,621.81	Facility		$588.84	$891.25	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,479.11	Professional		$676.08	$676.08	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,621.81	Professional		$630.96	$630.96	$1,621.81