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 $2,570.40 / $3,311.31 / $5,128.61	Professional		$2,570.40	$3,311.31	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,168.69	Professional		$2,398.83	$3,090.30	$4,168.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,818.38 / $2,951.21	Facility		$79.43	$2,818.38	$2,951.21
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 $2,951.21 / $4,168.69 / $6,309.57	Professional		$2,951.21	$4,168.69	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $47,863.01	Facility		$5,011.87	$5,011.87	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $26,915.35 / $26,915.35	Professional		$21,379.62	$26,915.35	$26,915.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $6,918.31	Facility		$2,511.89	$3,715.35	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $5,128.61	Professional		$2,630.27	$3,801.89	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $10,232.93 / $10,715.19	Professional		$3,311.31	$10,232.93	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $6,760.83	Facility		$2,818.38	$3,715.35	$6,760.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $6,309.57	Professional		$2,818.38	$4,073.80	$6,309.57
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 $2,454.71 / $3,235.94 / $5,011.87	Professional		$2,454.71	$3,235.94	$5,011.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,162.28	Professional		$2,818.38	$3,162.28	$3,162.28