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 $758.58 / $891.25 / $1,479.11	Professional		$758.58	$891.25	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,952.62	Facility		$5,623.41	$9,549.93	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,318.26	Professional		$776.25	$1,000.00	$1,318.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $776.25	Facility		$501.19	$501.19	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Professional		$831.76	$1,148.15	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $42,657.95 / $42,657.95	Facility		$28,183.83	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,413.10 / $7,413.10	Professional		$6,165.95	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $4,365.16	Facility		$812.83	$1,202.26	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,445.44	Professional		$758.58	$1,071.52	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $109.65 / $724.44	Professional		$32.36	$109.65	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,862.09	Facility		$812.83	$1,122.02	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,778.28	Professional		$776.25	$1,122.02	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,380.38	Professional		$691.83	$912.01	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Professional		$758.58	$831.76	$831.76