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 $758.58 / $912.01 / $1,479.11	Professional		$758.58	$912.01	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $3,801.89	Facility		$891.25	$1,513.56	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,348.96	Professional		$794.33	$977.24	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $776.25 / $794.33	Facility		$79.43	$776.25	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,778.28	Professional		$812.83	$1,148.15	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,413.10 / $7,413.10	Professional		$7,244.36	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $4,265.80	Facility		$812.83	$1,148.15	$4,265.80
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 / $741.31	Professional		$32.36	$109.65	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,621.81	Professional		$1,122.02	$1,122.02	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,905.46	Facility		$812.83	$1,096.48	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,778.28	Professional		$794.33	$1,148.15	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Professional		$676.08	$912.01	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $831.76	Professional		$776.25	$831.76	$831.76