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 $1,513.56 / $1,737.80 / $2,630.27	Professional		$1,513.56	$1,737.80	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,398.83	Professional		$1,380.38	$1,737.80	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,235.94	Professional		$1,584.89	$2,089.30	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $27,542.29	Facility		$54.95	$56.23	$27,542.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,882.50 / $12,882.50	Professional		$10,715.19	$12,882.50	$12,882.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $5,623.41	Facility		$1,412.54	$2,290.87	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,630.27	Professional		$1,513.56	$2,041.74	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,754.40	Professional		$5,248.07	$5,248.07	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,630.78	Facility		$1,584.89	$2,089.30	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,162.28	Professional		$1,513.56	$2,089.30	$3,162.28
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 $1,288.25 / $1,698.24 / $2,691.53	Professional		$1,288.25	$1,698.24	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82