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 $1,258.93 / $1,479.11 / $2,238.72	Professional		$1,258.93	$1,479.11	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,137.96	Professional		$1,230.27	$1,584.89	$2,137.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Facility		$1,258.93	$1,258.93	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,344.23 / $2,511.89	Facility		$891.25	$2,344.23	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,818.38	Professional		$1,096.48	$1,698.24	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $11,748.98	Professional		$9,549.93	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,235.94	Facility		$1,288.25	$1,698.24	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,238.72	Professional		$1,258.93	$1,479.11	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $4,570.88	Professional		$1,288.25	$2,630.27	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,884.03	Facility		$1,288.25	$1,698.24	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,162.28	Professional		$912.01	$1,737.80	$3,162.28
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 $1,122.02 / $1,479.11 / $2,290.87	Professional		$1,122.02	$1,479.11	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,548.82	Professional		$977.24	$1,348.96	$1,548.82