Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,244.36	Professional		$4,073.80	$4,786.30	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $6,918.31	Professional		$3,981.07	$5,011.87	$6,918.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,365.16	Facility		$3,981.07	$3,981.07	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $7,413.10	Facility		$891.25	$2,511.89	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $9,332.54	Professional		$2,398.83	$5,495.41	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $77,624.71	Facility		$54.95	$56.23	$77,624.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $37,153.52 / $37,153.52	Professional		$30,902.95	$37,153.52	$37,153.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $9,332.54	Facility		$2,818.38	$5,011.87	$9,332.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,079.46	Professional		$4,073.80	$4,786.30	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $8,511.38 / $10,964.78	Professional		$2,630.27	$8,511.38	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $9,332.54	Facility		$3,090.30	$5,128.61	$9,332.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $5,495.41 / $10,232.93	Professional		$2,290.87	$5,495.41	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $7,244.36	Professional		$3,548.13	$4,786.30	$7,244.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,011.87	Professional		$3,311.31	$4,365.16	$5,011.87