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 $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $3,715.35	Professional		$2,290.87	$2,754.23	$3,715.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,187.76 / $2,344.23	Facility		$79.43	$2,187.76	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,786.30	Professional		$2,290.87	$3,162.28	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $28,840.32	Facility		$5,011.87	$5,011.87	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $21,379.62 / $21,379.62	Professional		$16,595.87	$21,379.62	$21,379.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $5,248.07	Facility		$1,995.26	$2,818.38	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $4,073.80	Professional		$1,995.26	$2,951.21	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Professional		$2,398.83	$2,398.83	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $5,128.61	Facility		$2,187.76	$2,818.38	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,897.79	Professional		$2,187.76	$3,162.28	$4,897.79
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 $1,862.09 / $2,511.89 / $3,890.45	Professional		$1,862.09	$2,511.89	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $2,454.71	Professional		$2,187.76	$2,454.71	$2,454.71