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 $512.86 / $602.56 / $1,000.00	Professional		$512.86	$602.56	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $794.33	Professional		$457.09	$588.84	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $524.81 / $537.03	Facility		$79.43	$524.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,595.87	Facility		$1,995.26	$1,995.26	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $4,073.80	Facility		$549.54	$794.33	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,000.00	Professional		$524.81	$724.44	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,258.93	Facility		$537.03	$707.95	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,202.26	Professional		$537.03	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34