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 $3,388.44 / $4,073.80 / $6,456.54	Professional		$3,388.44	$4,073.80	$6,456.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $8,128.31	Professional		$3,981.07	$5,248.07	$8,128.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $72,443.60	Facility		$54.95	$56.23	$72,443.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $36,307.81	Professional		$28,183.83	$36,307.81	$36,307.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $8,912.51	Facility		$2,454.71	$4,570.88	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $6,760.83	Professional		$3,467.37	$5,011.87	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $7,762.47 / $10,000.00	Professional		$15.14	$7,762.47	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $9,120.11	Facility		$3,715.35	$4,786.30	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $8,128.31	Professional		$3,801.89	$5,370.32	$8,128.31
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 $3,235.94 / $4,466.84 / $6,918.31	Professional		$3,235.94	$4,466.84	$6,918.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $4,168.69	Professional		$3,630.78	$4,168.69	$4,168.69