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 / $13,489.63	Facility		$1,000.00	$3,890.45	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,380.38	Professional		$602.56	$724.44	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,120.11 / $15,848.93	Facility		$2,884.03	$9,120.11	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,047.13	Professional		$630.96	$794.33	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $630.96	Facility		$79.43	$616.60	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,412.54	Professional		$660.69	$912.01	$1,412.54
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 $4,897.79 / $5,888.44 / $5,888.44	Professional		$4,897.79	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $4,570.88	Facility		$660.69	$977.24	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,148.15	Professional		$616.60	$851.14	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,258.93	Professional		$870.96	$870.96	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $1,479.11	Facility		$645.65	$870.96	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,412.54	Professional		$616.60	$891.25	$1,412.54
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 $549.54 / $724.44 / $1,096.48	Professional		$549.54	$724.44	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69