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 / $12,589.25	Facility		$1,000.00	$3,715.35	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,174.90	Professional		$676.08	$831.76	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $9,772.37	Facility		$2,951.21	$5,011.87	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $794.33	Professional		$676.08	$707.95	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82
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 $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $4,073.80	Facility		$707.95	$1,071.52	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,230.27	Professional		$691.83	$933.25	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,412.54 / $1,862.09	Professional		$6.03	$1,412.54	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,659.59	Facility		$707.95	$977.24	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Professional		$741.31	$1,000.00	$1,548.82
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 $616.60 / $851.14 / $1,318.26	Professional		$616.60	$851.14	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $691.83	Professional		$660.69	$691.83	$691.83