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 / $1,698.24 / $2,691.53	Professional		$1,348.96	$1,698.24	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $6,309.57	Facility		$1,905.46	$2,884.03	$6,309.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,090.30	Professional		$1,479.11	$2,089.30	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $15,135.61 / $15,135.61	Professional		$11,748.98	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,570.88	Facility		$1,412.54	$2,041.74	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,019.95	Professional		$1,412.54	$2,187.76	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,454.71 / $4,265.80	Professional		$10.96	$2,454.71	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,715.35	Facility		$1,445.44	$1,995.26	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,311.31	Professional		$1,479.11	$2,089.30	$3,311.31
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 $1,230.27 / $1,737.80 / $2,818.38	Professional		$1,230.27	$1,737.80	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,819.70	Professional		$1,621.81	$1,819.70	$1,819.70