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 $1,412.54 / $1,778.28 / $2,754.23	Professional		$1,412.54	$1,778.28	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,290.87	Professional		$1,318.26	$1,698.24	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,698.24	Facility		$79.43	$1,621.81	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,388.44	Professional		$1,584.89	$2,238.72	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $15,135.61 / $15,135.61	Professional		$11,748.98	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,981.07	Facility		$1,513.56	$2,089.30	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,951.21	Professional		$1,445.44	$2,137.96	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,090.30	Professional		$1,737.80	$1,737.80	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,548.13	Facility		$1,548.82	$2,041.74	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,388.44	Professional		$1,513.56	$2,238.72	$3,388.44
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 $1,318.26 / $1,737.80 / $2,691.53	Professional		$1,318.26	$1,737.80	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28