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 $812.83 / $954.99 / $1,584.89	Professional		$812.83	$954.99	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $17,782.79	Facility		$4,265.80	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $870.96	Facility		$79.43	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,862.09	Professional		$891.25	$1,174.90	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $33,884.42 / $33,884.42	Facility		$25,118.86	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $7,762.47	Professional		$6,760.83	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $4,168.69	Facility		$891.25	$1,258.93	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,621.81	Professional		$831.76	$1,174.90	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $776.25	Professional		$32.36	$117.49	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $3,388.44	Professional		$1,230.27	$3,235.94	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,905.46	Facility		$891.25	$1,230.27	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,862.09	Professional		$851.14	$1,174.90	$1,862.09
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 $707.95 / $954.99 / $1,479.11	Professional		$707.95	$954.99	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01