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 $2,041.74 / $2,511.89 / $3,890.45	Professional		$2,041.74	$2,511.89	$3,890.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,897.79	Professional		$2,398.83	$3,162.28	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $32,359.37	Facility		$54.95	$56.23	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $21,877.62 / $21,877.62	Professional		$16,982.44	$21,877.62	$21,877.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $5,888.44	Facility		$1,995.26	$3,090.30	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,168.69	Professional		$2,137.96	$3,019.95	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,168.69 / $6,025.60	Professional		$10.96	$4,168.69	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $5,370.32	Facility		$2,290.87	$3,090.30	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,897.79	Professional		$2,290.87	$3,162.28	$4,897.79
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 $1,949.84 / $2,691.53 / $4,265.80	Professional		$1,949.84	$2,691.53	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89