Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,148.15	Professional		$616.60	$741.31	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $14,791.08	Facility		$4,073.80	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,023.29	Professional		$524.81	$660.69	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $602.56 / $602.56	Facility		$79.43	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,513.56	Professional		$645.65	$870.96	$1,513.56
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 $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $4,073.80	Facility		$630.96	$1,000.00	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,148.15	Professional		$630.96	$851.14	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,258.93	Professional		$588.84	$588.84	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,513.56	Facility		$602.56	$912.01	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,513.56	Professional		$616.60	$891.25	$1,513.56
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 $562.34 / $741.31 / $1,148.15	Professional		$562.34	$741.31	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Professional		$602.56	$645.65	$645.65