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 $891.25 / $1,174.90 / $1,905.46	Professional		$891.25	$1,174.90	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $5,623.41	Facility		$1,621.81	$2,818.38	$5,623.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,202.26	Facility		$79.43	$1,148.15	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,290.87	Professional		$1,023.29	$1,445.44	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $10,715.19	Professional		$9,549.93	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $3,467.37	Facility		$1,000.00	$1,380.38	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,137.96	Professional		$977.24	$1,513.56	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Professional		$1,230.27	$1,230.27	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,398.83	Facility		$1,000.00	$1,348.96	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,344.23	Professional		$1,000.00	$1,445.44	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,778.28	Professional		$794.33	$1,148.15	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,288.25	Professional		$1,148.15	$1,288.25	$1,288.25