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 $1,380.38 / $1,584.89 / $2,454.71	Professional		$1,380.38	$1,584.89	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $15,488.17	Facility		$1,548.82	$2,630.27	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,479.11	Facility		$1,348.96	$1,348.96	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,511.89	Facility		$891.25	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,090.30	Professional		$1,230.27	$1,862.09	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,589.25 / $12,589.25	Professional		$10,232.93	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,467.37	Facility		$1,318.26	$1,819.70	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,454.71	Professional		$1,348.96	$1,584.89	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $3,630.78	Professional		$1,380.38	$2,691.53	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,090.30	Facility		$1,318.26	$1,819.70	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,311.31	Professional		$1,202.26	$1,862.09	$3,311.31
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 $1,202.26 / $1,621.81 / $2,454.71	Professional		$1,202.26	$1,621.81	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,698.24	Professional		$1,071.52	$1,479.11	$1,698.24