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 $537.03 / $691.83 / $1,047.13	Professional		$537.03	$691.83	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $8,709.64	Facility		$2,398.83	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $977.24	Professional		$501.19	$645.65	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $501.19 / $501.19	Facility		$79.43	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,380.38	Professional		$588.84	$851.14	$1,380.38
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 $4,677.35 / $5,495.41 / $5,495.41	Professional		$4,677.35	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $2,884.03	Facility		$562.34	$831.76	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,148.15	Professional		$537.03	$741.31	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $436.52 / $549.54	Professional		$32.36	$436.52	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,288.25	Professional		$602.56	$602.56	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,380.38	Facility		$562.34	$794.33	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,412.54	Professional		$575.44	$851.14	$1,412.54
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 $512.86 / $691.83 / $1,047.13	Professional		$512.86	$691.83	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $660.69	Professional		$630.96	$660.69	$660.69