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 / $13,489.63	Facility		$1,000.00	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,621.81	Professional		$933.25	$1,071.52	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,047.13	Professional		$891.25	$933.25	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,137.96	Professional		$977.24	$1,318.26	$2,137.96
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 $7,079.46 / $8,128.31 / $8,128.31	Professional		$7,079.46	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $4,073.80	Facility		$933.25	$1,380.38	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,584.89	Professional		$954.99	$1,202.26	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,995.26 / $2,454.71	Professional		$7.08	$1,995.26	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,290.87	Facility		$933.25	$1,288.25	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
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 $812.83 / $1,122.02 / $1,737.80	Professional		$812.83	$1,122.02	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $912.01	Professional		$851.14	$912.01	$912.01