Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $14,454.40	Facility		$1,148.15	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,548.82	Professional		$851.14	$1,023.29	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $4,168.69	Facility		$1,023.29	$1,737.80	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,584.89	Professional		$912.01	$1,174.90	$1,584.89
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 $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $6,456.54	Facility		$954.99	$1,513.56	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,698.24	Professional		$891.25	$1,230.27	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,819.70 / $2,511.89	Professional		$7.08	$1,819.70	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,290.87	Facility		$933.25	$1,258.93	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,089.30	Professional		$933.25	$1,288.25	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,000.00	Professional		$912.01	$1,000.00	$1,000.00