Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,778.28	Professional		$933.25	$1,148.15	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,786.30 / $8,511.38	Facility		$2,344.23	$4,786.30	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,548.82	Professional		$912.01	$1,148.15	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,137.96	Professional		$1,000.00	$1,348.96	$2,137.96
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 $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $5,754.40	Facility		$977.24	$1,584.89	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,659.59	Professional		$933.25	$1,258.93	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,905.46 / $2,511.89	Professional		$3.02	$1,905.46	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,344.23	Facility		$954.99	$1,348.96	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,089.30	Professional		$1,000.00	$1,348.96	$2,089.30
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 $851.14 / $1,148.15 / $1,778.28	Professional		$851.14	$1,148.15	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25