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 $1,995.26 / $2,290.87 / $3,548.13	Professional		$1,995.26	$2,290.87	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,311.31	Professional		$1,949.84	$2,454.71	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Facility		$1,949.84	$1,949.84	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,630.78	Facility		$891.25	$2,511.89	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,466.84	Professional		$1,621.81	$2,691.53	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $18,620.87 / $18,620.87	Professional		$15,135.61	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,786.30	Facility		$1,949.84	$2,570.40	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,548.13	Professional		$1,995.26	$2,290.87	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $7,079.46	Professional		$1,548.82	$4,168.69	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,466.84	Facility		$1,949.84	$2,570.40	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $4,897.79	Professional		$1,380.38	$2,691.53	$4,897.79
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 $1,737.80 / $2,344.23 / $3,548.13	Professional		$1,737.80	$2,344.23	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,454.71	Professional		$1,659.59	$2,137.96	$2,454.71