Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $933.25	Professional		$489.78	$588.84	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $14,125.38	Facility		$3,090.30	$7,244.36	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $831.76	Professional		$478.63	$602.56	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $478.63	Facility		$79.43	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,202.26	Professional		$524.81	$741.31	$1,202.26
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 $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $4,365.16	Facility		$501.19	$831.76	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $891.25	Professional		$489.78	$660.69	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,071.52	Professional		$537.03	$537.03	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,230.27	Facility		$489.78	$707.95	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,202.26	Professional		$512.86	$741.31	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $933.25	Professional		$457.09	$602.56	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Professional		$467.74	$501.19	$501.19