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 $724.44 / $851.14 / $1,288.25	Professional		$724.44	$851.14	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,202.26	Professional		$724.44	$870.96	$1,202.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Facility		$724.44	$724.44	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,511.89	Facility		$891.25	$1,348.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,621.81	Professional		$616.60	$977.24	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,165.95	Facility		$54.95	$56.23	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $6,760.83	Professional		$5,495.41	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,949.84	Facility		$724.44	$954.99	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,288.25	Professional		$724.44	$851.14	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,479.11 / $1,995.26	Professional		$691.83	$1,479.11	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $933.25 / $1,621.81	Facility		$724.44	$933.25	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,778.28	Professional		$588.84	$977.24	$1,778.28
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 $616.60 / $851.14 / $1,288.25	Professional		$616.60	$851.14	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $891.25	Professional		$602.56	$794.33	$891.25