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 $707.95 / $870.96 / $1,288.25	Professional		$707.95	$870.96	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $13,182.57	Facility		$3,801.89	$6,760.83	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,778.28	Professional		$794.33	$1,096.48	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $5,128.61	Facility		$776.25	$1,258.93	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,318.26	Professional		$758.58	$977.24	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,584.89 / $2,089.30	Professional		$7.08	$1,584.89	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,949.84	Facility		$741.31	$1,071.52	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,778.28	Professional		$758.58	$1,122.02	$1,778.28
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 $676.08 / $912.01 / $1,445.44	Professional		$676.08	$912.01	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58