Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,862.09	Professional		$977.24	$1,174.90	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $10,000.00	Facility		$2,691.53	$4,897.79	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,621.81	Professional		$954.99	$1,202.26	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Facility		$891.25	$891.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Facility		$1,949.84	$1,949.84	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,949.84	Professional		$977.24	$1,288.25	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,709.64 / $8,709.64	Professional		$7,585.78	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $4,786.30	Facility		$912.01	$1,318.26	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,698.24	Professional		$1,023.29	$1,258.93	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,905.46	Facility		$933.25	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,949.84	Professional		$954.99	$1,288.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,479.11	Professional		$776.25	$1,023.29	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Professional		$891.25	$933.25	$933.25