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 / $11,748.98	Facility		$1,000.00	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $977.24	Professional		$478.63	$562.34	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,511.38	Facility		$2,570.40	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $831.76	Professional		$489.78	$630.96	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $489.78 / $501.19	Facility		$79.43	$489.78	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,122.02	Professional		$512.86	$707.95	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $4,570.88	Professional		$3,890.45	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $5,248.07	Facility		$524.81	$794.33	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $933.25	Professional		$478.63	$691.83	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,000.00	Professional		$691.83	$691.83	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,148.15	Facility		$512.86	$691.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,096.48	Professional		$489.78	$707.95	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $851.14	Professional		$416.87	$562.34	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $524.81	Professional		$489.78	$524.81	$524.81