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 $1,513.56 / $1,778.28 / $2,754.23	Professional		$1,513.56	$1,778.28	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,570.40	Professional		$1,479.11	$1,862.09	$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 $1,659.59 / $2,187.76 / $3,388.44	Professional		$1,659.59	$2,187.76	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $15,848.93	Professional		$13,489.63	$13,489.63	$15,848.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $4,570.88	Facility		$1,412.54	$2,187.76	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,090.30 / $4,073.80	Professional		$6.03	$3,090.30	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,801.89	Facility		$1,479.11	$2,137.96	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,388.44	Professional		$1,621.81	$2,187.76	$3,388.44
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 $1,348.96 / $1,862.09 / $2,884.03	Professional		$1,348.96	$1,862.09	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56