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 $1,659.59 / $1,949.84 / $3,019.95	Professional		$1,659.59	$1,949.84	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,818.38	Professional		$1,621.81	$2,041.74	$2,818.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,778.28	Facility		$1,621.81	$1,621.81	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,019.95	Facility		$891.25	$2,511.89	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,715.35	Professional		$1,445.44	$2,238.72	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,488.17 / $15,488.17	Professional		$12,589.25	$15,488.17	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,073.80	Facility		$1,659.59	$2,187.76	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,388.44 / $4,466.84	Professional		$1,659.59	$3,388.44	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,801.89	Facility		$1,698.24	$2,187.76	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $4,073.80	Professional		$1,202.26	$2,238.72	$4,073.80
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 $1,445.44 / $1,949.84 / $2,951.21	Professional		$1,445.44	$1,949.84	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,995.26	Professional		$1,380.38	$1,778.28	$1,995.26