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 / $13,489.63	Facility		$1,000.00	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $3,019.95	Professional		$1,621.81	$1,995.26	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,818.38	Professional		$1,513.56	$1,905.46	$2,818.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,981.07	Professional		$1,905.46	$2,570.40	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $17,378.01 / $17,378.01	Professional		$13,489.63	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,128.61	Facility		$1,698.24	$2,511.89	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,311.31	Professional		$1,698.24	$2,454.71	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,715.35 / $4,786.30	Professional		$10.96	$3,715.35	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $4,365.16	Facility		$1,819.70	$2,398.83	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,890.45	Professional		$1,862.09	$2,570.40	$3,890.45
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 $1,548.82 / $2,137.96 / $3,311.31	Professional		$1,548.82	$2,137.96	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $1,995.26	Professional		$1,778.28	$1,995.26	$1,995.26