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 $562.34 / $660.69 / $1,047.13	Professional		$562.34	$660.69	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $630.96	Professional		$549.54	$562.34	$630.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,258.93	Professional		$602.56	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $33,884.42	Facility		$9,332.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $5,128.61	Facility		$602.56	$1,000.00	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,000.00	Professional		$575.44	$741.31	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,122.02 / $1,348.96	Professional		$6.03	$1,122.02	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,412.54	Facility		$562.34	$776.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,230.27	Professional		$588.84	$794.33	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,047.13	Professional		$501.19	$676.08	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34