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 $691.83 / $870.96 / $1,412.54	Professional		$691.83	$870.96	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $6,606.93	Facility		$1,905.46	$3,311.31	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $645.65	Facility		$616.60	$616.60	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,412.54	Professional		$724.44	$933.25	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $33,884.42 / $33,884.42	Facility		$6,918.31	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $5,623.41	Facility		$676.08	$1,071.52	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,174.90	Professional		$707.95	$891.25	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Facility		$676.08	$851.14	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $8,709.64	Facility		$1,258.93	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,122.02	Professional		$575.44	$776.25	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $645.65	Professional		$616.60	$645.65	$645.65