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 $602.56 / $776.25 / $1,174.90	Professional		$602.56	$776.25	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $4,466.84	Facility		$1,174.90	$2,187.76	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,174.90	Professional		$588.84	$758.58	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $588.84 / $588.84	Facility		$79.43	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,479.11	Professional		$660.69	$912.01	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $33,884.42 / $33,884.42	Facility		$4,365.16	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,456.54 / $6,456.54	Professional		$5,623.41	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $2,951.21	Facility		$616.60	$891.25	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,380.38	Professional		$616.60	$851.14	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $512.86 / $645.65	Professional		$32.36	$512.86	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,479.11	Professional		$549.54	$549.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,513.56	Facility		$602.56	$851.14	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,479.11	Professional		$630.96	$912.01	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,096.48	Professional		$549.54	$724.44	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Professional		$741.31	$776.25	$776.25