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 $389.05 / $501.19 / $776.25	Professional		$389.05	$501.19	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,884.03	Facility		$812.83	$1,380.38	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $676.08	Professional		$380.19	$467.74	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,412.54 / $1,412.54	Facility		$338.84	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $831.76	Professional		$398.11	$524.81	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $33,884.42 / $33,884.42	Facility		$2,818.38	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $4,365.16	Facility		$398.11	$575.44	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $776.25	Professional		$407.38	$524.81	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $794.33	Facility		$398.11	$524.81	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $831.76	Professional		$398.11	$537.03	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $630.96	Professional		$331.13	$436.52	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $467.74	Professional		$446.68	$467.74	$467.74