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 $724.44 / $870.96 / $1,412.54	Professional		$724.44	$870.96	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $6,456.54	Facility		$812.83	$1,348.96	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,230.27	Professional		$724.44	$912.01	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $707.95 / $707.95	Facility		$79.43	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,698.24	Professional		$776.25	$1,047.13	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,244.36	Facility		$54.95	$56.23	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $4,073.80	Facility		$741.31	$1,096.48	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,318.26	Professional		$724.44	$977.24	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $676.08	Professional		$32.36	$102.33	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Facility		$758.58	$1,023.29	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,698.24	Professional		$724.44	$1,047.13	$1,698.24
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 $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Professional		$691.83	$741.31	$741.31