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 $2,137.96 / $2,511.89 / $3,890.45	Professional		$2,137.96	$2,511.89	$3,890.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $5,011.87	Professional		$2,398.83	$3,162.28	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $45,708.82	Facility		$54.95	$56.23	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $22,908.68 / $22,908.68	Professional		$17,782.79	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,888.44	Facility		$2,089.30	$2,951.21	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $4,365.16	Professional		$2,137.96	$3,162.28	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,168.69 / $6,309.57	Professional		$15.14	$4,168.69	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $5,623.41	Facility		$2,238.72	$2,951.21	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $5,128.61	Professional		$2,344.23	$3,235.94	$5,128.61
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 $1,862.09 / $2,570.40 / $4,265.80	Professional		$1,862.09	$2,570.40	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $2,630.27	Professional		$2,344.23	$2,630.27	$2,630.27