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 / $1,905.46 / $2,951.21	Professional		$1,584.89	$1,905.46	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $19,952.62	Facility		$1,949.84	$3,388.44	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,951.21	Professional		$1,737.80	$2,187.76	$2,951.21
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 $1,862.09 / $2,454.71 / $3,801.89	Professional		$1,862.09	$2,454.71	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $16,982.44 / $16,982.44	Professional		$15,848.93	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $5,128.61	Facility		$1,659.59	$2,454.71	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,311.31	Professional		$1,584.89	$2,398.83	$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 / $3,630.78 / $4,677.35	Professional		$10.96	$3,630.78	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,365.16	Facility		$1,778.28	$2,344.23	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,801.89	Professional		$1,819.70	$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 $1,513.56 / $2,089.30 / $3,235.94	Professional		$1,513.56	$2,089.30	$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