Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,890.45 / $12,882.50	Facility		$1,071.52	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,778.28	Professional		$891.25	$1,047.13	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $18,620.87	Facility		$5,495.41	$9,549.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $933.25 / $954.99	Facility		$79.43	$933.25	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,041.74	Professional		$977.24	$1,288.25	$2,041.74
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 $7,413.10 / $8,912.51 / $8,912.51	Professional		$7,413.10	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $4,365.16	Facility		$954.99	$1,348.96	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,737.80	Professional		$933.25	$1,258.93	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $131.83 / $870.96	Professional		$32.36	$131.83	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,862.09	Professional		$1,174.90	$1,174.90	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,089.30	Facility		$954.99	$1,258.93	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,089.30	Professional		$933.25	$1,288.25	$2,089.30
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 $776.25 / $1,023.29 / $1,584.89	Professional		$776.25	$1,023.29	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,000.00	Professional		$933.25	$1,000.00	$1,000.00