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 $2,137.96 / $2,511.89 / $3,801.89	Professional		$2,137.96	$2,511.89	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,548.13	Professional		$2,089.30	$2,630.27	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Facility		$2,089.30	$2,089.30	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,890.45	Facility		$891.25	$2,511.89	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,786.30	Professional		$1,819.70	$2,884.03	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $19,498.45 / $19,498.45	Professional		$17,378.01	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,128.61	Facility		$2,089.30	$2,818.38	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,801.89	Professional		$2,137.96	$2,454.71	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $7,585.78	Professional		$1,778.28	$4,466.84	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,897.79	Facility		$2,137.96	$2,818.38	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $5,248.07	Professional		$1,513.56	$2,884.03	$5,248.07
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 $1,862.09 / $2,511.89 / $3,801.89	Professional		$1,862.09	$2,511.89	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,570.40	Professional		$1,778.28	$2,290.87	$2,570.40