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 $575.44 / $660.69 / $1,071.52	Professional		$575.44	$660.69	$1,071.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,344.23	Facility		$1,023.29	$1,862.09	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,348.96	Professional		$501.19	$794.33	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $2,290.87	Facility		$575.44	$831.76	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $977.24	Professional		$562.34	$660.69	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,584.89	Professional		$724.44	$1,148.15	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,445.44	Facility		$575.44	$794.33	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,412.54	Professional		$467.74	$794.33	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,047.13	Professional		$501.19	$676.08	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $645.65	Professional		$467.74	$549.54	$645.65