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 / $1,047.13 / $1,737.80	Professional		$912.01	$1,047.13	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $6,165.95	Facility		$1,023.29	$1,737.80	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,513.56	Professional		$870.96	$1,071.52	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Facility		$891.25	$891.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $2,511.89	Facility		$891.25	$1,659.59	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,041.74	Professional		$794.33	$1,230.27	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,317.64 / $8,317.64	Professional		$7,762.47	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,454.71	Facility		$933.25	$1,230.27	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,621.81	Professional		$912.01	$1,047.13	$1,621.81
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 $954.99 / $1,819.70 / $2,454.71	Professional		$954.99	$1,819.70	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,187.76	Facility		$933.25	$1,202.26	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $2,238.72	Professional		$660.69	$1,258.93	$2,238.72
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 $812.83 / $1,071.52 / $1,621.81	Professional		$812.83	$1,071.52	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,096.48	Professional		$758.58	$954.99	$1,096.48