Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $6,918.31	Professional		$3,801.89	$4,466.84	$6,918.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,168.69	Facility		$3,801.89	$3,801.89	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $7,244.36	Facility		$891.25	$2,511.89	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $8,511.38	Professional		$3,090.30	$5,128.61	$8,511.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $36,307.81 / $36,307.81	Professional		$33,113.11	$36,307.81	$36,307.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $8,709.64	Facility		$3,715.35	$4,897.79	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $6,918.31	Professional		$3,801.89	$4,570.88	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $10,471.29	Professional		$3,019.95	$7,413.10	$10,471.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $8,511.38	Facility		$3,801.89	$5,011.87	$8,511.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $9,549.93	Professional		$2,754.23	$5,128.61	$9,549.93
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 $3,311.31 / $4,466.84 / $6,760.83	Professional		$3,311.31	$4,466.84	$6,760.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $4,786.30	Professional		$3,162.28	$4,168.69	$4,786.30