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 $954.99 / $1,096.48 / $1,698.24	Professional		$954.99	$1,096.48	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,698.24	Professional		$977.24	$1,230.27	$1,698.24
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 $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
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 $7,762.47 / $9,120.11 / $9,120.11	Professional		$7,762.47	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $4,073.80	Facility		$1,000.00	$1,445.44	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,778.28	Professional		$977.24	$1,288.25	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,089.30 / $2,754.23	Professional		$6.03	$2,089.30	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,290.87	Facility		$1,000.00	$1,348.96	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,238.72	Professional		$1,000.00	$1,412.54	$2,238.72
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 $851.14 / $1,174.90 / $1,819.70	Professional		$851.14	$1,174.90	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,023.29	Professional		$977.24	$1,023.29	$1,023.29