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 $812.83 / $954.99 / $1,548.82	Professional		$812.83	$954.99	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $794.33 / $812.83	Facility		$79.43	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Professional		$870.96	$1,202.26	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,762.47 / $7,762.47	Professional		$7,079.46	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $3,388.44	Facility		$831.76	$1,148.15	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,479.11	Professional		$812.83	$1,071.52	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $776.25	Professional		$32.36	$114.82	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,995.26	Facility		$851.14	$1,148.15	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,862.09	Professional		$831.76	$1,202.26	$1,862.09
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 $724.44 / $954.99 / $1,479.11	Professional		$724.44	$954.99	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14