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 $1,737.80 / $2,089.30 / $3,235.94	Professional		$1,737.80	$2,089.30	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $13,489.63	Facility		$2,089.30	$3,715.35	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,235.94	Professional		$1,737.80	$2,398.83	$3,235.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,981.07	Professional		$1,905.46	$2,570.40	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,183.83	Facility		$54.95	$56.23	$28,183.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $18,620.87 / $18,620.87	Professional		$14,454.40	$18,620.87	$18,620.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,011.87	Facility		$1,737.80	$2,511.89	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $3,890.45	Professional		$1,778.28	$2,818.38	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,311.31 / $5,370.32	Professional		$10.96	$3,311.31	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $4,570.88	Facility		$1,819.70	$2,454.71	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,168.69	Professional		$1,905.46	$2,630.27	$4,168.69
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 $1,548.82 / $2,137.96 / $3,467.37	Professional		$1,548.82	$2,137.96	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87