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 Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,238.72	Professional		$1,318.26	$1,584.89	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,479.11	Facility		$1,380.38	$1,380.38	$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 $1,348.96 / $1,949.84 / $3,235.94	Professional		$1,348.96	$1,949.84	$3,235.94
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 $10,715.19 / $12,589.25 / $12,589.25	Professional		$10,715.19	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $4,466.84	Facility		$1,348.96	$2,137.96	$4,466.84
Moda Health 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
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 $2,089.30 / $2,884.03 / $3,630.78	Professional		$2,089.30	$2,884.03	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,311.31	Facility		$1,445.44	$1,949.84	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,388.44	Professional		$1,258.93	$1,949.84	$3,388.44
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 $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,698.24	Professional		$1,122.02	$1,479.11	$1,698.24