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 $851.14 / $1,000.00 / $1,548.82	Professional		$851.14	$1,000.00	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,513.56	Professional		$891.25	$1,122.02	$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 $933.25 / $1,288.25 / $1,995.26	Professional		$933.25	$1,288.25	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,606.93	Facility		$54.95	$56.23	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $8,317.64	Professional		$6,918.31	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $3,467.37	Facility		$891.25	$1,230.27	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,584.89	Professional		$870.96	$1,148.15	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $831.76	Professional		$32.36	$123.03	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,819.70	Professional		$1,288.25	$1,288.25	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,041.74	Facility		$912.01	$1,202.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,995.26	Professional		$891.25	$1,288.25	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $22,908.68	Facility		$4,570.88	$10,715.19	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,548.82	Professional		$758.58	$1,000.00	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25