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 $1,023.29 / $1,202.26 / $1,819.70	Professional		$1,023.29	$1,202.26	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
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 $7,943.28 / $9,120.11 / $9,120.11	Professional		$7,943.28	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $4,073.80	Facility		$1,023.29	$1,621.81	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,778.28	Professional		$1,071.52	$1,318.26	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,238.72 / $2,691.53	Professional		$6.03	$2,238.72	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,570.40	Facility		$1,047.13	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,290.87	Professional		$1,096.48	$1,479.11	$2,290.87
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 $912.01 / $1,258.93 / $1,949.84	Professional		$912.01	$1,258.93	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29