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 $1,047.13 / $1,202.26 / $1,819.70	Professional		$1,047.13	$1,202.26	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $10,964.78	Facility		$1,174.90	$1,995.26	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,862.09	Professional		$1,047.13	$1,318.26	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,122.02	Facility		$1,047.13	$1,047.13	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $2,511.89	Facility		$891.25	$1,905.46	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,511.89	Professional		$1,047.13	$1,513.56	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,549.93 / $9,549.93	Professional		$7,762.47	$9,549.93	$9,549.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,388.44	Facility		$1,047.13	$1,445.44	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,862.09	Professional		$1,047.13	$1,202.26	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,754.23	Professional		$1,258.93	$2,089.30	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,511.89	Facility		$1,071.52	$1,445.44	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,754.23	Professional		$954.99	$1,513.56	$2,754.23
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 $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,288.25	Professional		$851.14	$1,122.02	$1,288.25