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 $724.44 / $851.14 / $1,445.44	Professional		$724.44	$851.14	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $25,118.86 / $48,977.88	Facility		$12,882.50	$25,118.86	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,258.93	Professional		$758.58	$933.25	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $724.44 / $724.44	Facility		$79.43	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,698.24	Professional		$794.33	$1,071.52	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $83,176.38	Facility		$42,657.95	$42,657.95	$83,176.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,079.46 / $7,079.46	Professional		$5,888.44	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $4,365.16	Facility		$758.58	$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 / $104.71 / $691.83	Professional		$32.36	$104.71	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Professional		$1,023.29	$1,023.29	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,737.80	Facility		$758.58	$1,047.13	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,698.24	Professional		$741.31	$1,071.52	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,988.33	Facility		$4,570.88	$10,964.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58