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 $691.83 / $794.33 / $1,288.25	Professional		$691.83	$794.33	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,288.25	Professional		$691.83	$870.96	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $660.69	Facility		$79.43	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,659.59	Professional		$741.31	$1,023.29	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $4,073.80	Facility		$691.83	$1,071.52	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,174.90	Professional		$676.08	$891.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $645.65	Professional		$32.36	$97.72	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,380.38	Professional		$977.24	$977.24	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,698.24	Facility		$691.83	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,659.59	Professional		$707.95	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,258.93	Professional		$616.60	$812.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $676.08	Professional		$645.65	$676.08	$676.08