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 $1,737.80 / $1,995.26 / $3,235.94	Professional		$1,737.80	$1,995.26	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $38,904.51	Facility		$1,548.82	$5,495.41	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,884.03	Professional		$1,659.59	$2,137.96	$2,884.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Facility		$1,659.59	$1,659.59	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,162.28	Facility		$891.25	$2,511.89	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,073.80	Professional		$1,479.11	$2,398.83	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $15,488.17 / $15,488.17	Professional		$13,489.63	$15,488.17	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,265.80	Facility		$1,737.80	$2,398.83	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,019.95	Professional		$1,698.24	$1,995.26	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $6,025.60	Professional		$1,905.46	$3,548.13	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,168.69	Facility		$1,778.28	$2,398.83	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $4,265.80	Professional		$1,258.93	$2,398.83	$4,265.80
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 $1,548.82 / $2,041.74 / $3,162.28	Professional		$1,548.82	$2,041.74	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,041.74	Professional		$1,412.54	$1,778.28	$2,041.74