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 $1,621.81 / $1,995.26 / $2,951.21	Professional		$1,621.81	$1,995.26	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $7,413.10	Facility		$1,862.09	$3,162.28	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,754.23	Professional		$1,621.81	$2,041.74	$2,754.23
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 $1,737.80 / $2,398.83 / $3,890.45	Professional		$1,737.80	$2,398.83	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $31,622.78	Facility		$54.95	$56.23	$31,622.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $6,025.60	Facility		$1,513.56	$2,398.83	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,019.95	Professional		$1,698.24	$2,290.87	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,467.37 / $4,365.16	Professional		$15.14	$3,467.37	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,168.69	Facility		$1,698.24	$2,398.83	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,715.35	Professional		$1,659.59	$2,398.83	$3,715.35
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 $1,513.56 / $2,041.74 / $3,162.28	Professional		$1,513.56	$2,041.74	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,778.28	Professional		$1,621.81	$1,778.28	$1,778.28