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 $1,621.81 / $2,041.74 / $3,235.94	Professional		$1,621.81	$2,041.74	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $7,762.47	Facility		$1,949.84	$3,311.31	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,951.21	Professional		$1,737.80	$2,187.76	$2,951.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,778.28 / $1,862.09	Facility		$79.43	$1,778.28	$1,862.09
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 $1,819.70 / $2,511.89 / $3,801.89	Professional		$1,819.70	$2,511.89	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,054.61	Facility		$5,011.87	$5,011.87	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $16,982.44 / $16,982.44	Professional		$13,182.57	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $4,365.16	Facility		$1,659.59	$2,344.23	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,311.31	Professional		$1,621.81	$2,398.83	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $6,456.54 / $6,760.83	Professional		$2,041.74	$6,456.54	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,073.80	Facility		$1,737.80	$2,344.23	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,801.89	Professional		$1,737.80	$2,511.89	$3,801.89
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 $1,479.11 / $1,995.26 / $3,090.30	Professional		$1,479.11	$1,995.26	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $1,949.84	Professional		$1,737.80	$1,949.84	$1,949.84