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 $891.25 / $1,023.29 / $1,584.89	Professional		$891.25	$1,023.29	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,943.28 / $7,943.28	Professional		$7,079.46	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $4,073.80	Facility		$891.25	$1,348.96	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,548.82	Professional		$912.01	$1,148.15	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,778.28 / $2,344.23	Professional		$7.08	$1,778.28	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,187.76	Facility		$891.25	$1,258.93	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,995.26	Professional		$933.25	$1,288.25	$1,995.26
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 $794.33 / $1,071.52 / $1,698.24	Professional		$794.33	$1,071.52	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $891.25	Professional		$831.76	$891.25	$891.25