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 $1,380.38 / $1,698.24 / $2,691.53	Professional		$1,380.38	$1,698.24	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,019.95	Professional		$1,288.25	$1,778.28	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,388.44	Professional		$1,659.59	$2,187.76	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $14,791.08 / $14,791.08	Professional		$13,803.84	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $5,370.32	Facility		$1,348.96	$2,187.76	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,951.21	Professional		$1,445.44	$2,137.96	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,235.94 / $4,168.69	Professional		$10.96	$3,235.94	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,801.89	Facility		$1,584.89	$2,041.74	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,388.44	Professional		$1,584.89	$2,187.76	$3,388.44
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 $1,348.96 / $1,819.70 / $2,884.03	Professional		$1,348.96	$1,819.70	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $1,737.80	Professional		$1,548.82	$1,737.80	$1,737.80