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 $426.58 / $616.60 / $977.24	Professional		$426.58	$616.60	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $6,165.95	Facility		$1,737.80	$3,162.28	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $891.25	Professional		$407.38	$562.34	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $616.60	Facility		$363.08	$363.08	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $933.25	Professional		$436.52	$645.65	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $4,365.16	Facility		$436.52	$741.31	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,047.13	Professional		$426.58	$630.96	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $977.24	Professional		$32.36	$125.89	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $707.95	Professional		$398.11	$588.84	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,047.13	Facility		$436.52	$660.69	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $776.25	Professional		$371.54	$524.81	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60