Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $5,115.14 / $14,223.10	Facility		$1,751.76	$5,115.14	$14,223.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.98 / $1,926.94 / $2,481.66	Professional		$1,634.98	$1,926.94	$2,481.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $1,459.80 / $1,459.80	Professional		$1,459.80	$1,459.80	$1,459.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,850.00 / $10,500.00 / $18,340.00	Facility		$3,850.00	$10,500.00	$18,340.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $6,642.09 / $13,008.84	Facility		$1,897.74	$6,642.09	$13,008.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,556.09 / $3,556.09 / $4,260.59	Professional		$3,556.09	$3,556.09	$4,260.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $13,868.10 / $13,868.10	Facility		$4,671.35	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,539.61 / $14,539.61 / $21,897.00	Professional		$14,539.61	$14,539.61	$21,897.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $4,309.00	Facility		$1,751.76	$2,919.60	$4,309.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,649.50	Professional		$2,919.60	$2,919.60	$3,649.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,649.50 / $6,569.10	Professional		$2,627.64	$3,649.50	$6,569.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $2,922.52 / $8,820.10	Facility		$1,897.74	$2,922.52	$8,820.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,503.52 / $5,109.30	Professional		$2,627.64	$3,503.52	$5,109.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,798.47	Professional		$1,226.23	$1,226.23	$1,798.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $2,919.60	Professional		$1,167.83	$1,167.83	$2,919.60