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 $1,659.59 / $1,995.26 / $3,090.30	Professional		$1,659.59	$1,995.26	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $4,265.80	Professional		$1,905.46	$3,162.28	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,890.45	Professional		$1,905.46	$2,511.89	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $17,782.79 / $17,782.79	Professional		$13,803.84	$17,782.79	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,128.61	Facility		$1,737.80	$2,398.83	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,388.44	Professional		$1,659.59	$2,454.71	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,090.30 / $4,897.79	Professional		$10.96	$3,090.30	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $4,365.16	Facility		$1,819.70	$2,344.23	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,890.45	Professional		$1,819.70	$2,511.89	$3,890.45
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 $1,513.56 / $2,041.74 / $3,311.31	Professional		$1,513.56	$2,041.74	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Professional		$1,819.70	$2,041.74	$2,041.74