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 $676.08 / $812.83 / $1,412.54	Professional		$676.08	$812.83	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $18,620.87	Facility		$5,128.61	$9,549.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,174.90	Professional		$707.95	$851.14	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $707.95	Facility		$79.43	$691.83	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,584.89	Professional		$741.31	$1,023.29	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $45,708.82 / $45,708.82	Facility		$26,915.35	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $6,606.93	Professional		$6,456.54	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $5,248.07	Facility		$724.44	$1,071.52	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,548.82	Professional		$691.83	$954.99	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $645.65	Professional		$32.36	$97.72	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,570.40 / $2,691.53	Professional		$912.01	$2,570.40	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,737.80	Facility		$724.44	$954.99	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Professional		$691.83	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,230.27	Professional		$602.56	$812.83	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Professional		$691.83	$741.31	$741.31