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 $812.83 / $1,000.00 / $1,513.56	Professional		$812.83	$1,000.00	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,380.38	Professional		$812.83	$1,023.29	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,949.84	Professional		$933.25	$1,202.26	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,182.57	Facility		$54.95	$56.23	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,762.47 / $7,762.47	Professional		$6,309.57	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $4,073.80	Facility		$870.96	$1,230.27	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,584.89	Professional		$851.14	$1,148.15	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,778.28 / $2,238.72	Professional		$12.02	$1,778.28	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,089.30	Facility		$851.14	$1,148.15	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,862.09	Professional		$891.25	$1,230.27	$1,862.09
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 $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $912.01	Professional		$851.14	$912.01	$912.01