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 $2,089.30 / $2,398.83 / $3,715.35	Professional		$2,089.30	$2,398.83	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,388.44	Professional		$1,995.26	$2,511.89	$3,388.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,238.72	Facility		$2,089.30	$2,089.30	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,801.89	Facility		$891.25	$2,511.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,786.30	Professional		$1,862.09	$2,884.03	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $39,810.72	Facility		$54.95	$56.23	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $19,054.61 / $19,054.61	Professional		$15,488.17	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,128.61	Facility		$2,089.30	$2,884.03	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,715.35	Professional		$2,089.30	$2,398.83	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $5,495.41	Professional		$2,290.87	$4,265.80	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,897.79	Facility		$2,137.96	$2,884.03	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $5,128.61	Professional		$1,513.56	$2,884.03	$5,128.61
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 $1,862.09 / $2,511.89 / $3,801.89	Professional		$1,862.09	$2,511.89	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,570.40	Professional		$1,698.24	$2,238.72	$2,570.40