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 $1,348.96 / $1,548.82 / $2,398.83	Professional		$1,348.96	$1,548.82	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,238.72	Professional		$1,288.25	$1,659.59	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,479.11	Facility		$1,380.38	$1,380.38	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,454.71 / $2,511.89	Facility		$891.25	$2,454.71	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,090.30	Professional		$1,148.15	$1,819.70	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,302.69 / $12,302.69	Professional		$10,232.93	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,388.44	Facility		$1,348.96	$1,778.28	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,398.83	Professional		$1,348.96	$1,548.82	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $3,630.78	Professional		$1,318.26	$2,818.38	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,090.30	Facility		$1,348.96	$1,778.28	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $3,311.31	Professional		$954.99	$1,862.09	$3,311.31
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 $1,202.26 / $1,584.89 / $2,398.83	Professional		$1,202.26	$1,584.89	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,698.24	Professional		$1,122.02	$1,479.11	$1,698.24