Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $12,882.50	Facility		$1,023.29	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,380.38	Professional		$707.95	$831.76	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $18,197.01	Facility		$4,265.80	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,258.93	Professional		$741.31	$933.25	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $724.44 / $741.31	Facility		$79.43	$724.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $42,657.95 / $42,657.95	Facility		$19,952.62	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,918.31 / $6,918.31	Professional		$5,754.40	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $4,365.16	Facility		$776.25	$1,122.02	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,348.96	Professional		$724.44	$1,000.00	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $691.83	Professional		$32.36	$102.33	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $741.31 / $1,071.52 / $1,659.59	Professional		$741.31	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,288.25	Professional		$645.65	$851.14	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $776.25	Professional		$724.44	$776.25	$776.25