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 $446.68 / $524.81 / $870.96	Professional		$446.68	$524.81	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $794.33	Professional		$467.74	$588.84	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $478.63	Facility		$79.43	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,047.13	Professional		$489.78	$676.08	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $4,073.80	Facility		$489.78	$724.44	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $891.25	Professional		$446.68	$645.65	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,096.48	Facility		$478.63	$645.65	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,047.13	Professional		$467.74	$660.69	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $812.83	Professional		$389.05	$524.81	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Professional		$467.74	$501.19	$501.19