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 $933.25 / $1,071.52 / $1,737.80	Professional		$933.25	$1,071.52	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,584.89	Professional		$891.25	$1,122.02	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,023.29	Facility		$954.99	$954.99	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,511.89	Facility		$891.25	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,187.76	Professional		$977.24	$1,348.96	$2,187.76
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 $7,079.46 / $8,511.38 / $8,511.38	Professional		$7,079.46	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,511.89	Facility		$977.24	$1,318.26	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,698.24	Professional		$933.25	$1,071.52	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,511.89	Professional		$1,288.25	$1,862.09	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,290.87	Facility		$977.24	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,290.87	Professional		$954.99	$1,348.96	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,698.24	Professional		$831.76	$1,122.02	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,174.90	Professional		$758.58	$1,023.29	$1,174.90