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 $741.31 / $891.25 / $1,412.54	Professional		$741.31	$891.25	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,778.28	Professional		$812.83	$1,288.25	$1,778.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,778.28	Professional		$870.96	$1,148.15	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,943.28 / $7,943.28	Professional		$6,025.60	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $4,073.80	Facility		$831.76	$1,202.26	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,584.89	Professional		$776.25	$1,148.15	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $1,698.24 / $2,187.76	Professional		$8.91	$1,698.24	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,949.84	Facility		$831.76	$1,096.48	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,778.28	Professional		$851.14	$1,148.15	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,513.56	Professional		$691.83	$954.99	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25