Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $501.19	Professional		$245.47	$288.40	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,311.31 / $13,489.63	Facility		$1,412.54	$3,311.31	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $416.87	Professional		$245.47	$316.23	$416.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $234.42 / $239.88	Facility		$79.43	$234.42	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $630.96	Professional		$275.42	$380.19	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $42,657.95 / $42,657.95	Facility		$2,454.71	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $416.87 / $4,365.16	Facility		$257.04	$416.87	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $426.58	Professional		$245.47	$316.23	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $229.09	Professional		$32.36	$34.67	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $512.86	Professional		$398.11	$398.11	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $645.65	Facility		$251.19	$371.54	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $602.56	Professional		$263.03	$371.54	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $467.74	Professional		$229.09	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $251.19	Professional		$229.09	$251.19	$251.19