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 $630.96 / $776.25 / $1,174.90	Professional		$630.96	$776.25	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $5,623.41	Facility		$1,698.24	$2,951.21	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,023.29	Professional		$537.03	$676.08	$1,023.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,445.44	Professional		$691.83	$912.01	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $5,128.61	Facility		$691.83	$1,122.02	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,148.15	Professional		$630.96	$870.96	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,288.25 / $1,698.24	Professional		$6.03	$1,288.25	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,548.82	Facility		$660.69	$912.01	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Professional		$676.08	$933.25	$1,445.44
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 $575.44 / $794.33 / $1,230.27	Professional		$575.44	$794.33	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Professional		$602.56	$645.65	$645.65