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 $1,348.96 / $1,584.89 / $2,398.83	Professional		$1,348.96	$1,584.89	$2,398.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,479.11	Facility		$1,348.96	$1,348.96	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,511.89	Facility		$891.25	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,019.95	Professional		$1,174.90	$1,819.70	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,589.25 / $12,589.25	Professional		$10,471.29	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,467.37	Facility		$1,348.96	$1,819.70	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,398.83	Professional		$1,348.96	$1,584.89	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,754.23 / $3,715.35	Professional		$1,288.25	$2,754.23	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,090.30	Facility		$1,380.38	$1,778.28	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $3,388.44	Professional		$977.24	$1,862.09	$3,388.44
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 $1,148.15 / $1,584.89 / $2,398.83	Professional		$1,148.15	$1,584.89	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,698.24	Professional		$1,047.13	$1,479.11	$1,698.24