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 $1,548.82 / $1,949.84 / $2,884.03	Professional		$1,548.82	$1,949.84	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,630.78	Professional		$1,513.56	$2,238.72	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,791.08 / $14,791.08	Professional		$12,022.64	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $4,786.30	Facility		$1,318.26	$2,187.76	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,951.21	Professional		$1,621.81	$2,187.76	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $3,311.31 / $4,265.80	Professional		$12.02	$3,311.31	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,801.89	Facility		$1,445.44	$2,041.74	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,548.13	Professional		$1,513.56	$2,290.87	$3,548.13
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 $1,380.38 / $1,905.46 / $2,951.21	Professional		$1,380.38	$1,905.46	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80