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 $1,174.90 / $1,412.54 / $2,187.76	Professional		$1,174.90	$1,412.54	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $8,128.31	Facility		$1,445.44	$2,454.71	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,511.89	Professional		$1,096.48	$1,445.44	$2,511.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,818.38	Professional		$1,380.38	$1,819.70	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,589.25	Professional		$12,302.69	$12,302.69	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $4,365.16	Facility		$1,230.27	$1,862.09	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,454.71	Professional		$1,202.26	$1,778.28	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,691.53 / $3,467.37	Professional		$10.00	$2,691.53	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,235.94	Facility		$1,318.26	$1,737.80	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,818.38	Professional		$1,348.96	$1,819.70	$2,818.38
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 $1,122.02 / $1,513.56 / $2,398.83	Professional		$1,122.02	$1,513.56	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Professional		$1,318.26	$1,445.44	$1,445.44