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 $1,023.29 / $1,230.27 / $1,949.84	Professional		$1,023.29	$1,230.27	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $5,011.87	Facility		$1,230.27	$2,089.30	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,862.09	Professional		$1,096.48	$1,380.38	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,454.71	Professional		$1,148.15	$1,548.82	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,168.69	Facility		$1,071.52	$1,621.81	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,041.74	Professional		$1,047.13	$1,479.11	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $2,238.72 / $2,951.21	Professional		$7.94	$2,238.72	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,630.27	Facility		$1,096.48	$1,479.11	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,454.71	Professional		$1,122.02	$1,548.82	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,174.90	Professional		$1,096.48	$1,174.90	$1,174.90