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 $1,445.44 / $1,778.28 / $2,884.03	Professional		$1,445.44	$1,778.28	$2,884.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,698.24	Facility		$79.43	$1,621.81	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,467.37	Professional		$1,659.59	$2,290.87	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $21,379.62	Facility		$5,011.87	$5,011.87	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $15,488.17 / $15,488.17	Professional		$12,022.64	$15,488.17	$15,488.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,073.80	Facility		$1,548.82	$2,137.96	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,019.95	Professional		$1,479.11	$2,187.76	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $6,165.95	Professional		$1,819.70	$6,025.60	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,715.35	Facility		$1,584.89	$2,089.30	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,467.37	Professional		$1,621.81	$2,290.87	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,754.23	Professional		$1,348.96	$1,778.28	$2,754.23
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