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 $831.76 / $1,000.00 / $1,584.89	Professional		$831.76	$1,000.00	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,230.27	Professional		$758.58	$851.14	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,949.84	Professional		$954.99	$1,258.93	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,912.51 / $8,912.51	Professional		$6,918.31	$8,912.51	$8,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $4,073.80	Facility		$933.25	$1,288.25	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,778.28	Professional		$831.76	$1,288.25	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $1,445.44 / $2,511.89	Professional		$8.91	$1,445.44	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,290.87	Facility		$933.25	$1,230.27	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26
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 $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,071.52	Professional		$954.99	$1,071.52	$1,071.52