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 $645.65 / $794.33 / $1,258.93	Professional		$645.65	$794.33	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $3,311.31	Facility		$741.31	$1,258.93	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,071.52	Professional		$549.54	$691.83	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $676.08	Facility		$79.43	$645.65	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,621.81	Professional		$707.95	$1,023.29	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $4,265.80	Facility		$691.83	$1,096.48	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,202.26	Professional		$645.65	$891.25	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $602.56	Professional		$32.36	$91.20	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,318.26	Professional		$1,023.29	$1,023.29	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,659.59	Facility		$691.83	$1,023.29	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,584.89	Professional		$676.08	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $707.95	Professional		$645.65	$707.95	$707.95