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 $1,412.54 / $1,659.59 / $2,511.89	Professional		$1,412.54	$1,659.59	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,344.23	Professional		$1,380.38	$1,698.24	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Facility		$1,380.38	$1,380.38	$1,513.56
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 $1,202.26 / $1,905.46 / $3,162.28	Professional		$1,202.26	$1,905.46	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
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 / $1,862.09 / $3,548.13	Facility		$1,412.54	$1,862.09	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,511.89	Professional		$1,412.54	$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 $1,288.25 / $2,818.38 / $3,801.89	Professional		$1,288.25	$2,818.38	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,162.28	Facility		$1,445.44	$1,862.09	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $3,548.13	Professional		$1,023.29	$1,905.46	$3,548.13
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 $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,737.80	Professional		$1,148.15	$1,513.56	$1,737.80