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 $1,258.93 / $1,513.56 / $2,238.72	Professional		$1,258.93	$1,513.56	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,949.84	Professional		$1,148.15	$1,412.54	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,884.03	Professional		$1,348.96	$1,737.80	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,964.78 / $10,964.78	Professional		$10,471.29	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $5,248.07	Facility		$1,122.02	$1,995.26	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,089.30	Professional		$1,258.93	$1,621.81	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,090.30	Facility		$1,288.25	$1,819.70	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,818.38	Professional		$1,258.93	$1,737.80	$2,818.38
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 $1,096.48 / $1,479.11 / $2,290.87	Professional		$1,096.48	$1,479.11	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93