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 $1,584.89 / $1,949.84 / $3,019.95	Professional		$1,584.89	$1,949.84	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $20,417.38	Facility		$1,995.26	$3,467.37	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,019.95	Professional		$1,513.56	$1,905.46	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,801.89	Professional		$1,905.46	$2,511.89	$3,801.89
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 $13,182.57 / $16,982.44 / $16,982.44	Professional		$13,182.57	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,011.87	Facility		$1,698.24	$2,454.71	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,311.31	Professional		$1,621.81	$2,454.71	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,311.31 / $4,786.30	Professional		$10.96	$3,311.31	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,265.80	Facility		$1,778.28	$2,398.83	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,801.89	Professional		$1,778.28	$2,511.89	$3,801.89
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 / $3,235.94	Professional		$1,548.82	$2,137.96	$3,235.94
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