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 $1,445.44 / $1,659.59 / $2,511.89	Professional		$1,445.44	$1,659.59	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $1,995.26	Facility		$1,621.81	$1,737.80	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,398.83	Professional		$1,380.38	$1,737.80	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Facility		$1,412.54	$1,412.54	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,630.27	Facility		$891.25	$2,511.89	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,467.37	Professional		$1,288.25	$2,089.30	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $13,182.57	Professional		$10,715.19	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,890.45	Facility		$1,412.54	$1,949.84	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,511.89	Professional		$1,445.44	$1,659.59	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $3,162.28 / $3,801.89	Professional		$12.02	$3,162.28	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,467.37	Facility		$1,479.11	$1,995.26	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,801.89	Professional		$1,174.90	$2,089.30	$3,801.89
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 $1,318.26 / $1,778.28 / $2,884.03	Professional		$1,318.26	$1,778.28	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,737.80	Professional		$1,174.90	$1,548.82	$1,737.80