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 $831.76 / $977.24 / $1,479.11	Professional		$831.76	$977.24	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,412.54	Professional		$812.83	$1,023.29	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,905.46	Professional		$891.25	$1,202.26	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,128.31	Facility		$54.95	$56.23	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $7,413.10	Professional		$6,606.93	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $4,073.80	Facility		$851.14	$1,258.93	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,479.11	Professional		$870.96	$1,096.48	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,698.24 / $2,238.72	Professional		$7.08	$1,698.24	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,089.30	Facility		$851.14	$1,202.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,862.09	Professional		$891.25	$1,202.26	$1,862.09
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 $741.31 / $1,023.29 / $1,584.89	Professional		$741.31	$1,023.29	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Professional		$794.33	$831.76	$831.76