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 $3,890.45 / $4,786.30 / $7,413.10	Professional		$3,890.45	$4,786.30	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $8,912.51	Professional		$3,630.78	$5,011.87	$8,912.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $9,332.54	Professional		$4,466.84	$6,025.60	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $83,176.38	Facility		$54.95	$56.23	$83,176.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $41,686.94 / $41,686.94	Professional		$32,359.37	$41,686.94	$41,686.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,897.79 / $9,549.93	Facility		$2,454.71	$4,897.79	$9,549.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $7,762.47	Professional		$3,981.07	$5,623.41	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $9,772.37 / $11,481.54	Professional		$15.14	$9,772.37	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $10,232.93	Facility		$4,073.80	$5,370.32	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $9,332.54	Professional		$4,265.80	$6,165.95	$9,332.54
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 $3,801.89 / $5,128.61 / $8,128.31	Professional		$3,801.89	$5,128.61	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $4,786.30	Professional		$4,168.69	$4,786.30	$4,786.30