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 $691.83 / $831.76 / $1,230.27	Professional		$691.83	$831.76	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,467.37	Facility		$794.33	$1,348.96	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,258.93	Professional		$724.44	$954.99	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,659.59	Professional		$794.33	$1,047.13	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,309.57	Facility		$54.95	$56.23	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,606.93 / $6,606.93	Professional		$5,754.40	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $4,073.80	Facility		$724.44	$1,096.48	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,258.93	Professional		$724.44	$954.99	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $1,995.26	Professional		$6.03	$1,513.56	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Facility		$707.95	$1,000.00	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,659.59	Professional		$724.44	$1,071.52	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,380.38	Professional		$645.65	$870.96	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44