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 $776.25 / $933.25 / $1,479.11	Professional		$776.25	$933.25	$1,479.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $851.14	Facility		$79.43	$831.76	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,862.09	Professional		$851.14	$1,202.26	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,413.10	Facility		$54.95	$56.23	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $3,467.37	Facility		$851.14	$1,122.02	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,548.82	Professional		$831.76	$1,122.02	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $794.33	Professional		$32.36	$120.23	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,737.80	Professional		$1,202.26	$1,202.26	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,862.09	Facility		$851.14	$1,096.48	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,862.09	Professional		$812.83	$1,202.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $891.25	Professional		$831.76	$891.25	$891.25