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 $4,365.16 / $5,011.87 / $7,762.47	Professional		$4,365.16	$5,011.87	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $7,244.36	Professional		$4,168.69	$5,370.32	$7,244.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,677.35	Facility		$4,265.80	$4,265.80	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $7,943.28	Facility		$891.25	$2,511.89	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $9,772.37	Professional		$3,715.35	$5,888.44	$9,772.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $74,131.02	Facility		$54.95	$56.23	$74,131.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $40,738.03 / $40,738.03	Professional		$33,113.11	$40,738.03	$40,738.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $10,000.00	Facility		$4,168.69	$5,623.41	$10,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $7,585.78	Professional		$4,365.16	$5,011.87	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,311.31	Professional		$32.36	$33.11	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,912.51 / $11,748.98	Professional		$4,365.16	$8,912.51	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $10,000.00	Facility		$4,365.16	$5,754.40	$10,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $10,715.19	Professional		$3,090.30	$6,025.60	$10,715.19
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 $3,715.35 / $5,128.61 / $7,762.47	Professional		$3,715.35	$5,128.61	$7,762.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $5,248.07	Professional		$3,801.89	$4,677.35	$5,248.07