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 $489.78 / $616.60 / $954.99	Professional		$489.78	$616.60	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,511.38 / $16,595.87	Facility		$4,168.69	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $691.83	Professional		$501.19	$524.81	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $33,884.42 / $33,884.42	Facility		$13,803.84	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $5,248.07	Facility		$501.19	$977.24	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $851.14	Professional		$501.19	$645.65	$851.14
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 $6.03 / $1,174.90 / $1,348.96	Professional		$6.03	$1,174.90	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,258.93	Facility		$489.78	$724.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $954.99	Professional		$457.09	$616.60	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Professional		$446.68	$478.63	$478.63