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 $912.01 / $1,096.48 / $1,659.59	Professional		$912.01	$1,096.48	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,786.30	Facility		$1,071.52	$1,819.70	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,659.59	Professional		$977.24	$1,230.27	$1,659.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,290.87	Professional		$1,023.29	$1,412.54	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,912.51 / $8,912.51	Professional		$7,585.78	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $4,073.80	Facility		$954.99	$1,479.11	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,659.59	Professional		$954.99	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,041.74 / $2,691.53	Professional		$6.03	$2,041.74	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,398.83	Facility		$933.25	$1,380.38	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,238.72	Professional		$977.24	$1,412.54	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Professional		$870.96	$1,174.90	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $977.24	Professional		$912.01	$977.24	$977.24