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 / $11,748.98	Facility		$1,000.00	$3,715.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $912.01	Professional		$426.58	$512.86	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $478.63	Facility		$79.43	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,000.00	Professional		$467.74	$645.65	$1,000.00
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 $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $5,248.07	Facility		$478.63	$724.44	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $912.01	Professional		$446.68	$645.65	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $954.99	Professional		$537.03	$537.03	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $1,023.29	Facility		$467.74	$602.56	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,047.13	Professional		$446.68	$645.65	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $794.33	Professional		$389.05	$512.86	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Professional		$478.63	$512.86	$512.86