Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,318.26	Professional		$758.58	$977.24	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,584.89	Professional		$870.96	$1,047.13	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,023.29	Facility		$933.25	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,778.28	Professional		$812.83	$1,071.52	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $8,128.31	Professional		$6,760.83	$8,128.31	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Facility		$870.96	$1,174.90	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,778.28	Professional		$758.58	$1,023.29	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $2,454.71	Professional		$758.58	$1,548.82	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Facility		$870.96	$1,174.90	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,187.76	Professional		$812.83	$1,096.48	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,380.38	Professional		$660.69	$870.96	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,258.93	Professional		$630.96	$1,000.00	$1,258.93