Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $12,882.50	Facility		$1,000.00	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,288.25	Professional		$707.95	$870.96	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $5,011.87	Facility		$1,412.54	$2,454.71	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $1,000.00	Professional		$707.95	$758.58	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,584.89	Professional		$741.31	$1,000.00	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $42,657.95 / $42,657.95	Facility		$5,370.32	$42,657.95	$42,657.95
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 $741.31 / $1,174.90 / $5,248.07	Facility		$741.31	$1,174.90	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,288.25	Professional		$776.25	$954.99	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,513.56 / $2,137.96	Professional		$5.01	$1,513.56	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Facility		$707.95	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,584.89	Professional		$724.44	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,288.25	Professional		$602.56	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $724.44	Professional		$676.08	$724.44	$724.44