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 $1,202.26 / $1,412.54 / $2,187.76	Professional		$1,202.26	$1,412.54	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,715.35	Facility		$1,174.90	$1,995.26	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,041.74	Professional		$1,202.26	$1,513.56	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Facility		$1,258.93	$1,258.93	$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 $1,202.26 / $1,659.59 / $2,818.38	Professional		$1,202.26	$1,659.59	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,442.29	Facility		$54.95	$56.23	$23,442.29
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 / $1,659.59 / $3,090.30	Facility		$1,230.27	$1,659.59	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,187.76	Professional		$1,202.26	$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 $1,202.26 / $2,454.71 / $3,311.31	Professional		$1,202.26	$2,454.71	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,818.38	Facility		$1,258.93	$1,659.59	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,019.95	Professional		$1,202.26	$1,659.59	$3,019.95
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 $1,096.48 / $1,445.44 / $2,187.76	Professional		$1,096.48	$1,445.44	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,548.82	Professional		$954.99	$1,348.96	$1,548.82