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 $912.01 / $1,122.02 / $1,659.59	Professional		$912.01	$1,122.02	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $4,073.80	Facility		$1,122.02	$1,698.24	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,548.82	Professional		$891.25	$1,148.15	$1,548.82
Christus 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 $1,000.00 / $1,318.26 / $2,137.96	Professional		$1,000.00	$1,318.26	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $8,511.38	Professional		$7,244.36	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $4,073.80	Facility		$954.99	$1,412.54	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,737.80	Professional		$933.25	$1,230.27	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,949.84 / $2,454.71	Professional		$15.14	$1,949.84	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,290.87	Facility		$954.99	$1,288.25	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,137.96	Professional		$977.24	$1,318.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,698.24	Professional		$812.83	$1,122.02	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,000.00	Professional		$933.25	$1,000.00	$1,000.00