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 $1,584.89 / $1,949.84 / $2,884.03	Professional		$1,584.89	$1,949.84	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,691.53	Professional		$1,584.89	$1,995.26	$2,691.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,890.45	Professional		$1,737.80	$2,344.23	$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 $12,302.69 / $15,135.61 / $15,135.61	Professional		$12,302.69	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $5,248.07	Facility		$1,479.11	$2,344.23	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,019.95	Professional		$1,659.59	$2,238.72	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,801.89 / $4,365.16	Professional		$15.14	$3,801.89	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,168.69	Facility		$1,621.81	$2,187.76	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,890.45	Professional		$1,659.59	$2,398.83	$3,890.45
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 $1,479.11 / $2,041.74 / $3,162.28	Professional		$1,479.11	$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