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 $1,202.26 / $1,380.38 / $2,238.72	Professional		$1,202.26	$1,380.38	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $13,803.84	Facility		$1,348.96	$2,290.87	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,089.30	Professional		$1,174.90	$1,479.11	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,691.53	Professional		$1,288.25	$1,737.80	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,265.80	Facility		$1,148.15	$1,819.70	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,089.30	Professional		$1,230.27	$1,584.89	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,454.71 / $3,162.28	Professional		$6.03	$2,454.71	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,951.21	Facility		$1,202.26	$1,698.24	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,691.53	Professional		$1,258.93	$1,737.80	$2,691.53
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 $1,096.48 / $1,479.11 / $2,290.87	Professional		$1,096.48	$1,479.11	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,202.26	Professional		$1,122.02	$1,202.26	$1,202.26