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 $478.63 / $602.56 / $933.25	Professional		$478.63	$602.56	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $562.34	Professional		$489.78	$512.86	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,122.02	Professional		$537.03	$707.95	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $33,884.42 / $33,884.42	Facility		$14,454.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $4,466.84	Professional		$3,890.45	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $5,128.61	Facility		$537.03	$933.25	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $891.25	Professional		$489.78	$676.08	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,023.29 / $1,318.26	Professional		$3.02	$1,023.29	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,230.27	Facility		$512.86	$707.95	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $933.25	Professional		$446.68	$602.56	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19