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 $1,778.28 / $2,137.96 / $3,235.94	Professional		$1,778.28	$2,137.96	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Facility		$1,862.09	$1,862.09	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,388.44	Facility		$891.25	$2,511.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,981.07	Professional		$1,479.11	$2,454.71	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $17,378.01 / $17,378.01	Professional		$14,125.38	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,365.16	Facility		$1,778.28	$2,344.23	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,311.31	Professional		$1,819.70	$2,137.96	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $5,011.87	Professional		$1,621.81	$3,548.13	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $4,073.80	Facility		$1,819.70	$2,344.23	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,466.84	Professional		$1,318.26	$2,454.71	$4,466.84
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 / $2,089.30 / $3,162.28	Professional		$1,548.82	$2,089.30	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,290.87	Professional		$1,445.44	$1,995.26	$2,290.87