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 / $12,302.69	Facility		$1,000.00	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,344.23	Professional		$1,288.25	$1,513.56	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,412.54	Facility		$1,318.26	$1,318.26	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,344.23 / $2,511.89	Facility		$891.25	$2,344.23	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,019.95	Professional		$1,288.25	$1,819.70	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $12,022.64 / $12,022.64	Professional		$11,220.18	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,388.44	Facility		$1,318.26	$1,819.70	$3,388.44
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 $1,548.82 / $2,691.53 / $3,467.37	Professional		$1,548.82	$2,691.53	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,090.30	Facility		$1,348.96	$1,819.70	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $3,235.94	Professional		$1,202.26	$1,819.70	$3,235.94
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 $1,174.90 / $1,548.82 / $2,344.23	Professional		$1,174.90	$1,548.82	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,621.81	Professional		$1,071.52	$1,412.54	$1,621.81