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 / $12,302.69	Facility		$1,000.00	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,019.95	Professional		$1,737.80	$1,949.84	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,754.23	Professional		$1,621.81	$2,089.30	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Facility		$1,621.81	$1,621.81	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,090.30	Facility		$891.25	$2,511.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,890.45	Professional		$1,479.11	$2,344.23	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $15,135.61 / $15,135.61	Professional		$13,182.57	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,265.80	Facility		$1,698.24	$2,344.23	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,951.21	Professional		$1,698.24	$1,949.84	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $5,888.44	Professional		$1,905.46	$3,467.37	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,981.07	Facility		$1,737.80	$2,344.23	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $4,168.69	Professional		$1,230.27	$2,398.83	$4,168.69
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 $1,513.56 / $2,041.74 / $3,090.30	Professional		$1,513.56	$2,041.74	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,995.26	Professional		$1,380.38	$1,698.24	$1,995.26