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 $2,630.27 / $3,162.28 / $4,897.79	Professional		$2,630.27	$3,162.28	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,466.84	Professional		$2,511.89	$3,090.30	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,884.03	Facility		$2,630.27	$2,630.27	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $4,897.79	Facility		$891.25	$2,511.89	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $6,025.60	Professional		$2,344.23	$3,630.78	$6,025.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $24,547.09 / $24,547.09	Professional		$20,417.38	$24,547.09	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $6,456.54	Facility		$2,630.27	$3,548.13	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,677.35	Professional		$2,630.27	$3,090.30	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $7,244.36	Professional		$2,951.21	$5,495.41	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $6,165.95	Facility		$2,754.23	$3,548.13	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $6,606.93	Professional		$1,995.26	$3,630.78	$6,606.93
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 $2,344.23 / $3,162.28 / $4,786.30	Professional		$2,344.23	$3,162.28	$4,786.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,235.94	Professional		$2,187.76	$2,818.38	$3,235.94