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 $1,698.24 / $1,949.84 / $3,019.95	Professional		$1,698.24	$1,949.84	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $7,762.47	Facility		$1,862.09	$3,162.28	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,754.23	Professional		$1,621.81	$1,905.46	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Professional		$1,778.28	$2,398.83	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $14,791.08 / $14,791.08	Professional		$13,182.57	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $5,011.87	Facility		$1,584.89	$2,398.83	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,884.03	Professional		$1,698.24	$2,187.76	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,388.44 / $4,466.84	Professional		$6.03	$3,388.44	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,168.69	Facility		$1,698.24	$2,344.23	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Professional		$1,778.28	$2,398.83	$3,715.35
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 $1,513.56 / $2,041.74 / $3,162.28	Professional		$1,513.56	$2,041.74	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,659.59	Professional		$1,548.82	$1,659.59	$1,659.59