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 $1,122.02 / $1,318.26 / $2,041.74	Professional		$1,122.02	$1,318.26	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $13,803.84	Facility		$1,348.96	$2,344.23	$13,803.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,691.53	Professional		$1,258.93	$1,698.24	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,964.78 / $10,964.78	Professional		$10,715.19	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,265.80	Facility		$1,174.90	$1,778.28	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,187.76	Professional		$1,174.90	$1,584.89	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,398.83 / $3,311.31	Professional		$7.08	$2,398.83	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,019.95	Facility		$1,202.26	$1,584.89	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,691.53	Professional		$1,202.26	$1,698.24	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $22,908.68	Facility		$4,570.88	$10,715.19	$22,908.68
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 $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25