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 $1,412.54 / $1,737.80 / $2,951.21	Professional		$1,412.54	$1,737.80	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,630.27	Professional		$1,513.56	$1,862.09	$2,630.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,467.37	Professional		$1,698.24	$2,238.72	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $15,135.61 / $15,135.61	Professional		$14,125.38	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,677.35	Facility		$1,513.56	$2,238.72	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,019.95	Professional		$1,445.44	$2,187.76	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,311.31 / $4,265.80	Professional		$10.96	$3,311.31	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,981.07	Facility		$1,621.81	$2,137.96	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,467.37	Professional		$1,659.59	$2,238.72	$3,467.37
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 $1,380.38 / $1,862.09 / $2,951.21	Professional		$1,380.38	$1,862.09	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,778.28	Professional		$1,621.81	$1,778.28	$1,778.28