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 $5,128.61 / $9,332.54 / $20,417.38	Facility		$5,128.61	$9,332.54	$20,417.38
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 / $724.44	Facility		$79.43	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $42,657.95 / $42,657.95	Facility		$28,840.32	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $6,760.83	Professional		$5,888.44	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $4,365.16	Facility		$758.58	$1,096.48	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,318.26	Professional		$707.95	$1,000.00	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $676.08	Professional		$32.36	$102.33	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,479.11	Professional		$1,174.90	$1,174.90	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,698.24	Facility		$758.58	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,659.59	Professional		$724.44	$1,047.13	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58