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 $1,737.80 / $2,137.96 / $3,090.30	Professional		$1,737.80	$2,137.96	$3,090.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,073.80	Professional		$1,862.09	$2,454.71	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,135.61	Facility		$54.95	$56.23	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $16,218.10 / $16,218.10	Professional		$13,803.84	$16,218.10	$16,218.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $5,248.07	Facility		$1,659.59	$2,511.89	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,890.45 / $5,011.87	Professional		$6.03	$3,890.45	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,265.80	Facility		$1,737.80	$2,398.83	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $4,073.80	Professional		$1,778.28	$2,511.89	$4,073.80
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 $1,548.82 / $2,089.30 / $3,235.94	Professional		$1,548.82	$2,089.30	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $1,737.80	Professional		$1,659.59	$1,737.80	$1,737.80