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 $870.96 / $1,023.29 / $1,584.89	Professional		$870.96	$1,023.29	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,332.54 / $18,197.01	Facility		$5,248.07	$9,332.54	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,513.56	Professional		$891.25	$1,148.15	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $891.25	Facility		$79.43	$870.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,089.30	Professional		$977.24	$1,318.26	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,511.38 / $8,511.38	Professional		$7,079.46	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,548.13	Facility		$912.01	$1,288.25	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,621.81	Professional		$891.25	$1,174.90	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $831.76	Professional		$32.36	$125.89	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,862.09	Professional		$1,148.15	$1,148.15	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,137.96	Facility		$933.25	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,041.74	Professional		$912.01	$1,318.26	$2,041.74
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 $794.33 / $1,047.13 / $1,584.89	Professional		$794.33	$1,047.13	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25