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 $1,023.29 / $1,288.25 / $1,905.46	Professional		$1,023.29	$1,288.25	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Professional		$1,023.29	$1,288.25	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,454.71	Professional		$1,148.15	$1,479.11	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,772.37 / $9,772.37	Professional		$7,943.28	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $4,073.80	Facility		$1,071.52	$1,548.82	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,995.26	Professional		$1,047.13	$1,445.44	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,238.72 / $2,818.38	Professional		$15.14	$2,238.72	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,570.40	Facility		$1,096.48	$1,445.44	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,454.71	Professional		$1,122.02	$1,513.56	$2,454.71
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 $933.25 / $1,288.25 / $1,949.84	Professional		$933.25	$1,288.25	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90