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 / $2,089.30 / $3,235.94	Professional		$1,621.81	$2,089.30	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,019.95	Professional		$1,778.28	$2,187.76	$3,019.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,819.70 / $1,905.46	Facility		$79.43	$1,819.70	$1,905.46
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 $1,862.09 / $2,570.40 / $3,981.07	Professional		$1,862.09	$2,570.40	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,498.45	Facility		$5,011.87	$5,011.87	$19,498.45
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 $1,737.80 / $2,398.83 / $4,466.84	Facility		$1,737.80	$2,398.83	$4,466.84
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 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $6,606.93 / $6,918.31	Professional		$2,089.30	$6,606.93	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,265.80	Facility		$1,778.28	$2,398.83	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,981.07	Professional		$1,778.28	$2,570.40	$3,981.07
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 $1,513.56 / $2,041.74 / $3,162.28	Professional		$1,513.56	$2,041.74	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $1,995.26	Professional		$1,778.28	$1,995.26	$1,995.26