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 $758.58 / $891.25 / $1,348.96	Professional		$758.58	$891.25	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $7,762.47	Facility		$2,344.23	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,348.96	Professional		$794.33	$1,000.00	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,819.70	Professional		$831.76	$1,148.15	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,244.36 / $7,244.36	Professional		$6,456.54	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $5,248.07	Facility		$794.33	$1,348.96	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,380.38	Professional		$776.25	$1,000.00	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,659.59 / $2,187.76	Professional		$6.03	$1,659.59	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,949.84	Facility		$758.58	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,819.70	Professional		$794.33	$1,148.15	$1,819.70
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 $724.44 / $954.99 / $1,513.56	Professional		$724.44	$954.99	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Professional		$741.31	$794.33	$794.33