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 $2,041.74 / $2,454.71 / $3,715.35	Professional		$2,041.74	$2,454.71	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,548.13	Professional		$2,089.30	$2,630.27	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Facility		$2,137.96	$2,137.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,890.45	Facility		$891.25	$2,511.89	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,570.88	Professional		$1,778.28	$2,818.38	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $19,952.62 / $19,952.62	Professional		$16,218.10	$19,952.62	$19,952.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,011.87	Facility		$2,089.30	$2,691.53	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,715.35	Professional		$2,041.74	$2,454.71	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $5,754.40	Professional		$1,949.84	$3,890.45	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $4,677.35	Facility		$2,089.30	$2,691.53	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $5,128.61	Professional		$1,548.82	$2,818.38	$5,128.61
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 $1,778.28 / $2,398.83 / $3,630.78	Professional		$1,778.28	$2,398.83	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,630.27	Professional		$1,698.24	$2,290.87	$2,630.27