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 $1,148.15 / $1,318.26 / $2,041.74	Professional		$1,148.15	$1,318.26	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,570.40	Professional		$1,230.27	$1,621.81	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,232.93 / $10,232.93	Professional		$9,772.37	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $4,265.80	Facility		$1,122.02	$1,737.80	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,995.26	Professional		$1,174.90	$1,479.11	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,511.89 / $3,019.95	Professional		$7.08	$2,511.89	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,884.03	Facility		$1,148.15	$1,621.81	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
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 $1,023.29 / $1,412.54 / $2,187.76	Professional		$1,023.29	$1,412.54	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,148.15	Professional		$1,071.52	$1,148.15	$1,148.15