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 $1,258.93 / $1,445.44 / $2,187.76	Professional		$1,258.93	$1,445.44	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,089.30	Professional		$1,148.15	$1,479.11	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Facility		$1,230.27	$1,230.27	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,511.89	Facility		$891.25	$2,238.72	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,951.21	Professional		$1,148.15	$1,778.28	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $11,220.18	Professional		$9,332.54	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,715.35	Facility		$1,230.27	$1,698.24	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,187.76	Professional		$1,258.93	$1,412.54	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,311.31	Professional		$1,548.82	$2,454.71	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,951.21	Facility		$1,258.93	$1,698.24	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,090.30	Professional		$1,071.52	$1,778.28	$3,090.30
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 $1,122.02 / $1,548.82 / $2,398.83	Professional		$1,122.02	$1,548.82	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,513.56	Professional		$1,000.00	$1,318.26	$1,513.56