Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $4,570.88	Facility		$831.76	$870.96	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Professional		$794.33	$912.01	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,905.46 / $1,905.46	Facility		$79.43	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $13,803.84 / $13,803.84	Professional		$11,748.98	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,511.89	Facility		$831.76	$1,548.82	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $2,290.87	Professional		$831.76	$933.25	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Professional		$1,096.48	$1,096.48	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,630.27 / $4,897.79	Professional		$575.44	$2,630.27	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,570.40	Facility		$831.76	$1,445.44	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $2,089.30	Facility		$562.34	$891.25	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,288.25	Professional		$741.31	$1,071.52	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46