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 $794.33 / $933.25 / $1,548.82	Professional		$794.33	$933.25	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $6,918.31	Facility		$912.01	$1,548.82	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,348.96	Professional		$794.33	$1,023.29	$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 $870.96 / $1,202.26 / $1,949.84	Professional		$870.96	$1,202.26	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,585.78 / $7,585.78	Professional		$7,079.46	$7,585.78	$7,585.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $4,265.80	Facility		$831.76	$1,288.25	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,445.44	Professional		$794.33	$1,071.52	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $741.31	Professional		$32.36	$112.20	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $2,951.21	Professional		$1,380.38	$2,884.03	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,949.84	Facility		$831.76	$1,230.27	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,862.09	Professional		$831.76	$1,174.90	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,479.11	Professional		$724.44	$954.99	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $831.76	Professional		$776.25	$831.76	$831.76