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 $2,187.76 / $2,691.53 / $3,890.45	Professional		$2,187.76	$2,691.53	$3,890.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $5,128.61	Professional		$2,344.23	$3,162.28	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,199.52	Facility		$54.95	$56.23	$30,199.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $19,952.62 / $19,952.62	Professional		$17,378.01	$19,952.62	$19,952.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $6,025.60	Facility		$1,995.26	$3,090.30	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,890.45	Professional		$2,290.87	$2,884.03	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $4,897.79 / $6,165.95	Professional		$10.00	$4,897.79	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,495.41	Facility		$2,187.76	$3,090.30	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $5,128.61	Professional		$2,238.72	$3,235.94	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,168.69	Professional		$1,995.26	$2,691.53	$4,168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76