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 $2,630.27 / $3,090.30 / $4,897.79	Professional		$2,630.27	$3,090.30	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,466.84	Professional		$2,511.89	$3,311.31	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Facility		$2,570.40	$2,570.40	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $4,897.79	Facility		$891.25	$2,511.89	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,888.44	Professional		$2,290.87	$3,548.13	$5,888.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $24,547.09 / $24,547.09	Professional		$19,952.62	$24,547.09	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $6,309.57	Facility		$2,511.89	$3,388.44	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,677.35	Professional		$2,630.27	$3,090.30	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $9,332.54	Professional		$2,691.53	$5,495.41	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,888.44	Facility		$2,570.40	$3,388.44	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $6,606.93	Professional		$1,905.46	$3,548.13	$6,606.93
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 $2,344.23 / $3,090.30 / $4,677.35	Professional		$2,344.23	$3,090.30	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,162.28	Professional		$2,187.76	$2,818.38	$3,162.28