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 $1,288.25 / $1,513.56 / $2,290.87	Professional		$1,288.25	$1,513.56	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Facility		$1,288.25	$1,288.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,398.83 / $2,511.89	Facility		$891.25	$2,398.83	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,884.03	Professional		$1,122.02	$1,778.28	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,589.25	Facility		$54.95	$56.23	$12,589.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $12,022.64	Professional		$9,772.37	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,311.31	Facility		$1,318.26	$1,737.80	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,290.87	Professional		$1,288.25	$1,513.56	$2,290.87
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 $1,318.26 / $2,691.53 / $3,548.13	Professional		$1,318.26	$2,691.53	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,951.21	Facility		$1,318.26	$1,737.80	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $3,162.28	Professional		$933.25	$1,778.28	$3,162.28
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 $1,148.15 / $1,513.56 / $2,344.23	Professional		$1,148.15	$1,513.56	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,584.89	Professional		$1,071.52	$1,380.38	$1,584.89