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 / $851.14 / $1,288.25	Professional		$707.95	$851.14	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $3,388.44	Facility		$831.76	$1,412.54	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,288.25	Professional		$758.58	$933.25	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,737.80	Professional		$794.33	$1,096.48	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $5,248.07	Facility		$758.58	$1,258.93	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,318.26	Professional		$741.31	$977.24	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,584.89 / $2,089.30	Professional		$6.03	$1,584.89	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,995.26	Facility		$724.44	$1,071.52	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,737.80	Professional		$758.58	$1,096.48	$1,737.80
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 $676.08 / $912.01 / $1,412.54	Professional		$676.08	$912.01	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58