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 $1,122.02 / $1,288.25 / $1,995.26	Professional		$1,122.02	$1,288.25	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $5,128.61	Facility		$1,258.93	$2,089.30	$5,128.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Facility		$1,096.48	$1,096.48	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,511.89	Facility		$891.25	$2,041.74	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,511.89	Professional		$977.24	$1,513.56	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,818.38	Facility		$1,122.02	$1,513.56	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,995.26	Professional		$1,122.02	$1,318.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $3,019.95	Professional		$1,148.15	$2,238.72	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,570.40	Facility		$1,122.02	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,754.23	Professional		$812.83	$1,513.56	$2,754.23
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 $977.24 / $1,318.26 / $1,995.26	Professional		$977.24	$1,318.26	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,380.38	Professional		$851.14	$1,202.26	$1,380.38