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 $1,122.02 / $1,288.25 / $1,995.26	Professional		$1,122.02	$1,288.25	$1,995.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,511.89	Professional		$1,174.90	$1,584.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,772.37 / $9,772.37	Professional		$9,120.11	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $4,265.80	Facility		$1,071.52	$1,659.59	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,905.46	Professional		$1,148.15	$1,412.54	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,238.72 / $2,951.21	Professional		$7.08	$2,238.72	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,754.23	Facility		$1,122.02	$1,584.89	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,454.71	Professional		$1,148.15	$1,584.89	$2,454.71
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 $977.24 / $1,348.96 / $2,089.30	Professional		$977.24	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,096.48	Professional		$1,023.29	$1,096.48	$1,096.48