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 / $707.95 / $1,148.15	Professional		$602.56	$707.95	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,912.51 / $15,848.93	Facility		$3,162.28	$8,912.51	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,071.52	Professional		$630.96	$794.33	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $630.96	Facility		$79.43	$616.60	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,380.38	Professional		$660.69	$912.01	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,888.44 / $5,888.44	Professional		$5,754.40	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $4,073.80	Facility		$645.65	$954.99	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,148.15	Professional		$602.56	$851.14	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $575.44	Professional		$32.36	$87.10	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,445.44	Facility		$630.96	$851.14	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,380.38	Professional		$616.60	$891.25	$1,380.38
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 $537.03 / $707.95 / $1,096.48	Professional		$537.03	$707.95	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69