Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $12,882.50	Facility		$1,000.00	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $1,071.52	Professional		$309.03	$407.38	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,762.47	Facility		$2,137.96	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $660.69	Professional		$354.81	$457.09	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $4,365.16	Facility		$2,398.83	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $794.33	Professional		$363.08	$489.78	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $4,265.80	Facility		$354.81	$575.44	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $831.76	Professional		$323.59	$467.74	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $758.58 / $1,096.48	Professional		$3.98	$758.58	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $831.76	Facility		$346.74	$478.63	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $794.33	Professional		$363.08	$501.19	$794.33
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 $309.03 / $426.58 / $660.69	Professional		$309.03	$426.58	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Professional		$407.38	$446.68	$446.68