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 $1,348.96 / $1,659.59 / $2,511.89	Professional		$1,348.96	$1,659.59	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,467.37	Professional		$1,513.56	$2,398.83	$3,467.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,235.94	Professional		$1,621.81	$2,089.30	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $14,454.40 / $14,454.40	Professional		$12,589.25	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,570.88	Facility		$1,412.54	$2,089.30	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,818.38	Professional		$1,380.38	$2,041.74	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,090.30 / $3,981.07	Professional		$10.96	$3,090.30	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,715.35	Facility		$1,513.56	$1,949.84	$3,715.35
Providence 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
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 $1,258.93 / $1,737.80 / $2,691.53	Professional		$1,258.93	$1,737.80	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24