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 / $1,348.96 / $2,137.96	Professional		$1,202.26	$1,348.96	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $5,623.41	Facility		$1,318.26	$2,238.72	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,348.96	Professional		$1,174.90	$1,202.26	$1,348.96
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 $1,258.93 / $1,698.24 / $2,630.27	Professional		$1,258.93	$1,698.24	$2,630.27
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 $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $4,265.80	Facility		$1,148.15	$1,778.28	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,089.30	Professional		$1,230.27	$1,548.82	$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 / $2,398.83 / $3,162.28	Professional		$6.03	$2,398.83	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,818.38	Facility		$1,202.26	$1,659.59	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,630.27	Professional		$1,258.93	$1,698.24	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,659.59 / $4,168.69	Facility		$407.38	$1,659.59	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,238.72	Professional		$1,071.52	$1,445.44	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,174.90	Professional		$1,122.02	$1,174.90	$1,174.90