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 $1,698.24 / $2,041.74 / $3,162.28	Professional		$1,698.24	$2,041.74	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,162.28	Professional		$1,819.70	$2,344.23	$3,162.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $4,073.80	Professional		$1,995.26	$2,630.27	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $17,782.79 / $17,782.79	Professional		$15,848.93	$17,782.79	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $6,025.60	Facility		$1,621.81	$2,511.89	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,467.37	Professional		$1,737.80	$2,511.89	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,890.45 / $5,011.87	Professional		$10.96	$3,890.45	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,677.35	Facility		$1,905.46	$2,511.89	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,073.80	Professional		$1,949.84	$2,630.27	$4,073.80
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 $1,621.81 / $2,238.72 / $3,548.13	Professional		$1,621.81	$2,238.72	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,089.30	Professional		$1,862.09	$2,089.30	$2,089.30