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 $467.74 / $707.95 / $1,148.15	Professional		$467.74	$707.95	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,912.51 / $15,848.93	Facility		$2,951.21	$8,912.51	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,000.00	Professional		$489.78	$724.44	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $489.78	Facility		$79.43	$478.63	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,348.96	Professional		$501.19	$776.25	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,606.93	Professional		$5,623.41	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $3,019.95	Facility		$524.81	$870.96	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,479.11	Professional		$478.63	$758.58	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $426.58 / $660.69	Professional		$32.36	$426.58	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $3,090.30	Professional		$954.99	$1,819.70	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,318.26	Facility		$524.81	$812.83	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,348.96	Professional		$489.78	$776.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $933.25	Professional		$389.05	$588.84	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $851.14	Professional		$812.83	$851.14	$851.14