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 $1,023.29 / $1,174.90 / $1,819.70	Professional		$1,023.29	$1,174.90	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $10,471.29	Facility		$1,122.02	$1,905.46	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,819.70	Professional		$831.76	$1,047.13	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,454.71	Professional		$1,071.52	$1,445.44	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,912.51 / $8,912.51	Professional		$8,128.31	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $4,073.80	Facility		$1,000.00	$1,584.89	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,737.80	Professional		$1,047.13	$1,348.96	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,290.87 / $2,818.38	Professional		$6.03	$2,290.87	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,511.89	Facility		$1,023.29	$1,445.44	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,238.72	Professional		$1,071.52	$1,445.44	$2,238.72
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 $891.25 / $1,230.27 / $1,905.46	Professional		$891.25	$1,230.27	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,000.00	Professional		$933.25	$1,000.00	$1,000.00