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 $1,230.27 / $1,445.44 / $2,238.72	Professional		$1,230.27	$1,445.44	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Facility		$1,230.27	$1,230.27	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $2,511.89	Facility		$891.25	$2,290.87	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,818.38	Professional		$1,071.52	$1,698.24	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
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 $1,230.27 / $1,659.59 / $3,162.28	Facility		$1,230.27	$1,659.59	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,187.76	Professional		$1,230.27	$1,445.44	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $3,388.44	Professional		$1,202.26	$2,511.89	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,818.38	Facility		$1,230.27	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,090.30	Professional		$891.25	$1,698.24	$3,090.30
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 $1,071.52 / $1,479.11 / $2,187.76	Professional		$1,071.52	$1,479.11	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,513.56	Professional		$1,047.13	$1,348.96	$1,513.56