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 $1,122.02 / $1,380.38 / $2,137.96	Professional		$1,122.02	$1,380.38	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $13,803.84	Facility		$1,348.96	$2,344.23	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,862.09	Professional		$1,096.48	$1,445.44	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,348.96	Facility		$79.43	$1,288.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,630.27	Professional		$1,258.93	$1,737.80	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $11,748.98	Professional		$9,120.11	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,715.35	Facility		$1,174.90	$1,659.59	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,344.23	Professional		$1,122.02	$1,698.24	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,818.38	Facility		$1,230.27	$1,621.81	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,691.53	Professional		$1,202.26	$1,737.80	$2,691.53
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 $1,023.29 / $1,348.96 / $2,089.30	Professional		$1,023.29	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,412.54	Professional		$1,258.93	$1,412.54	$1,412.54