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 $776.25 / $891.25 / $1,348.96	Professional		$776.25	$891.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $5,623.41	Facility		$851.14	$1,445.44	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,288.25	Professional		$741.31	$891.25	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Facility		$776.25	$776.25	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,511.89	Facility		$891.25	$1,412.54	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,778.28	Professional		$691.83	$1,096.48	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $7,244.36	Professional		$5,888.44	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,511.89	Facility		$776.25	$1,071.52	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,380.38	Professional		$776.25	$891.25	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,584.89 / $2,041.74	Professional		$7.08	$1,584.89	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,819.70	Facility		$776.25	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,949.84	Professional		$660.69	$1,096.48	$1,949.84
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 $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $954.99	Professional		$645.65	$831.76	$954.99