Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.53 / $1,589.90 / $2,521.02	Professional		$1,330.53	$1,589.90	$2,521.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,680.68 / $1,680.68 / $1,680.68	Professional		$1,680.68	$1,680.68	$1,680.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.23 / $2,960.40 / $9,240.78	Facility		$1,739.23	$2,960.40	$9,240.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,627.03 / $2,059.42 / $2,869.24	Professional		$1,627.03	$2,059.42	$2,869.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,523.94 / $1,523.94 / $1,523.94	Facility		$1,523.94	$1,523.94	$1,523.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.53 / $2,385.37 / $3,755.48	Professional		$1,850.53	$2,385.37	$3,755.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $12,106.44	Facility		$5,897.00	$5,897.00	$12,106.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,475.40 / $23,475.40 / $23,475.40	Professional		$23,475.40	$23,475.40	$23,475.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.22 / $2,260.57 / $3,922.53	Facility		$1,657.22	$2,260.57	$3,922.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.86 / $2,646.73 / $3,113.80	Professional		$2,248.86	$2,646.73	$3,113.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.77 / $1,841.52 / $2,885.22	Professional		$1,538.77	$1,841.52	$2,885.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,657.22 / $2,280.92 / $4,333.50	Facility		$1,657.22	$2,280.92	$4,333.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,899.55 / $2,453.35 / $3,882.34	Professional		$1,899.55	$2,453.35	$3,882.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.89 / $1,988.71 / $3,159.64	Professional		$1,486.89	$1,988.71	$3,159.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,476.41 / $1,680.68 / $2,328.51	Professional		$1,476.41	$1,680.68	$2,328.51