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 $1,071.52 / $1,202.26 / $1,905.46	Professional		$1,071.52	$1,202.26	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $6,456.54	Facility		$1,148.15	$1,949.84	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,819.70	Professional		$1,023.29	$1,318.26	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Facility		$1,096.48	$1,096.48	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $2,511.89	Facility		$891.25	$1,995.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,344.23	Professional		$891.25	$1,412.54	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,000.00 / $10,000.00	Professional		$8,317.64	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,691.53	Facility		$1,071.52	$1,412.54	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,949.84	Professional		$1,071.52	$1,230.27	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,137.96 / $2,884.03	Professional		$933.25	$2,137.96	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,398.83	Facility		$1,071.52	$1,412.54	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,630.27	Professional		$758.58	$1,445.44	$2,630.27
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 $912.01 / $1,230.27 / $1,862.09	Professional		$912.01	$1,230.27	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,348.96	Professional		$912.01	$1,174.90	$1,348.96