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 $1,445.44 / $1,698.24 / $2,570.40	Professional		$1,445.44	$1,698.24	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,162.28	Professional		$1,479.11	$1,995.26	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $13,489.63 / $13,489.63	Professional		$11,220.18	$13,489.63	$13,489.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,365.16	Facility		$1,445.44	$2,089.30	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,630.27	Professional		$1,479.11	$1,995.26	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $2,754.23 / $3,981.07	Professional		$12.02	$2,754.23	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,467.37	Facility		$1,479.11	$1,949.84	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,235.94	Professional		$1,445.44	$1,995.26	$3,235.94
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 $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,548.82	Professional		$1,412.54	$1,548.82	$1,548.82