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 $3,235.94 / $3,801.89 / $5,888.44	Professional		$3,235.94	$3,801.89	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $4,466.84	Professional		$3,235.94	$3,467.37	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,548.13	Facility		$3,235.94	$3,235.94	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $6,025.60	Facility		$891.25	$2,511.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $7,244.36	Professional		$2,630.27	$4,365.16	$7,244.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $31,622.78	Facility		$54.95	$56.23	$31,622.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $30,199.52 / $30,199.52	Professional		$26,302.68	$30,199.52	$30,199.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $7,413.10	Facility		$3,090.30	$4,168.69	$7,413.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $5,754.40	Professional		$3,235.94	$3,801.89	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,951.21	Professional		$32.36	$33.11	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $8,912.51	Professional		$2,398.83	$6,456.54	$8,912.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $7,244.36	Facility		$3,235.94	$4,168.69	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $8,128.31	Professional		$2,290.87	$4,365.16	$8,128.31
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 $2,818.38 / $3,801.89 / $5,754.40	Professional		$2,818.38	$3,801.89	$5,754.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $3,981.07	Professional		$2,691.53	$3,467.37	$3,981.07