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 $1,318.26 / $1,659.59 / $2,454.71	Professional		$1,318.26	$1,659.59	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,290.87	Professional		$1,348.96	$1,659.59	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,162.28	Professional		$1,445.44	$1,949.84	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $12,589.25	Professional		$10,715.19	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $4,466.84	Facility		$1,318.26	$1,995.26	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,511.89	Professional		$1,380.38	$1,862.09	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,884.03 / $3,630.78	Professional		$15.14	$2,884.03	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,388.44	Facility		$1,380.38	$1,905.46	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,019.95	Professional		$1,380.38	$1,949.84	$3,019.95
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 $1,230.27 / $1,659.59 / $2,570.40	Professional		$1,230.27	$1,659.59	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,479.11	Professional		$1,348.96	$1,479.11	$1,479.11