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 $870.96 / $1,096.48 / $1,737.80	Professional		$870.96	$1,096.48	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,096.48	Facility		$79.43	$1,047.13	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,089.30	Professional		$977.24	$1,318.26	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,772.37 / $9,772.37	Professional		$9,332.54	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,467.37	Facility		$912.01	$1,288.25	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,949.84	Professional		$912.01	$1,380.38	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,238.72	Facility		$912.01	$1,230.27	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,187.76	Professional		$933.25	$1,318.26	$2,187.76
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 $724.44 / $1,047.13 / $1,659.59	Professional		$724.44	$1,047.13	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,174.90	Professional		$1,047.13	$1,174.90	$1,174.90