Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $12,882.50	Facility		$1,000.00	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,148.15	Professional		$575.44	$676.08	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $14,791.08	Facility		$4,265.80	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $912.01	Professional		$512.86	$660.69	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $562.34 / $562.34	Facility		$79.43	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,380.38	Professional		$616.60	$870.96	$1,380.38
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 $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $4,265.80	Facility		$602.56	$933.25	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,047.13	Professional		$575.44	$776.25	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $549.54	Professional		$32.36	$83.18	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,202.26	Professional		$794.33	$794.33	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,479.11	Facility		$602.56	$831.76	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,348.96	Professional		$602.56	$870.96	$1,348.96
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 $524.81 / $691.83 / $1,047.13	Professional		$524.81	$691.83	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84