Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $562.34	Professional		$281.84	$354.81	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $8,511.38 / $16,595.87	Facility		$4,073.80	$8,511.38	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $398.11	Professional		$281.84	$302.00	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
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 $316.23 / $416.87 / $676.08	Professional		$316.23	$416.87	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $42,657.95 / $42,657.95	Facility		$13,803.84	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $645.65 / $5,495.41	Facility		$295.12	$645.65	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $478.63	Professional		$288.40	$371.54	$478.63
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 / $645.65 / $776.25	Professional		$6.03	$645.65	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $776.25	Facility		$281.84	$426.58	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $645.65	Professional		$316.23	$416.87	$645.65
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 $257.04 / $354.81 / $549.54	Professional		$257.04	$354.81	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $275.42	Professional		$257.04	$275.42	$275.42