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 $1,071.52 / $1,230.27 / $1,995.26	Professional		$1,071.52	$1,230.27	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $8,912.51	Facility		$1,174.90	$1,995.26	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,698.24	Professional		$870.96	$1,096.48	$1,698.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,344.23	Professional		$1,148.15	$1,513.56	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,332.54 / $9,332.54	Professional		$8,317.64	$9,332.54	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,168.69	Facility		$1,047.13	$1,621.81	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,862.09	Professional		$1,071.52	$1,380.38	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,137.96 / $2,818.38	Professional		$7.08	$2,137.96	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,511.89	Facility		$1,071.52	$1,513.56	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,344.23	Professional		$1,122.02	$1,513.56	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13