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 $1,584.89 / $1,905.46 / $3,019.95	Professional		$1,584.89	$1,905.46	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,754.23	Professional		$1,584.89	$1,995.26	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Facility		$1,584.89	$1,584.89	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,951.21	Facility		$891.25	$2,511.89	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,630.78	Professional		$1,412.54	$2,238.72	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,791.08 / $14,791.08	Professional		$12,302.69	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,981.07	Facility		$1,659.59	$2,187.76	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,884.03	Professional		$1,584.89	$1,862.09	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $4,365.16	Professional		$2,041.74	$3,235.94	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,801.89	Facility		$1,659.59	$2,187.76	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $3,981.07	Professional		$1,202.26	$2,238.72	$3,981.07
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 $1,412.54 / $1,905.46 / $2,884.03	Professional		$1,412.54	$1,905.46	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,949.84	Professional		$1,318.26	$1,737.80	$1,949.84