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 $1,629.87 / $1,960.74 / $3,159.94	Professional		$1,629.87	$1,960.74	$3,159.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,055.38 / $2,055.38 / $2,055.38	Professional		$2,055.38	$2,055.38	$2,055.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,992.70 / $2,522.27 / $3,514.09	Professional		$1,992.70	$2,522.27	$3,514.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,845.98 / $1,845.98 / $1,845.98	Facility		$1,845.98	$1,845.98	$1,845.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,273.44 / $2,944.69 / $4,613.88	Professional		$2,273.44	$2,944.69	$4,613.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $14,785.32	Facility		$5,897.00	$5,897.00	$14,785.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,606.41 / $24,606.41 / $24,606.41	Professional		$24,606.41	$24,606.41	$24,606.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.28 / $2,773.98 / $4,693.56	Facility		$2,032.28	$2,773.98	$4,693.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,747.58 / $3,233.69 / $3,804.34	Professional		$2,747.58	$3,233.69	$3,804.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.84 / $2,227.13 / $3,520.82	Professional		$1,861.84	$2,227.13	$3,520.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,032.28 / $2,803.86 / $4,820.97	Facility		$2,032.28	$2,803.86	$4,820.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,324.01 / $3,021.76 / $4,767.91	Professional		$2,324.01	$3,021.76	$4,767.91
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 $1,808.35 / $2,427.96 / $3,898.32	Professional		$1,808.35	$2,427.96	$3,898.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,803.83 / $2,055.38 / $2,843.95	Professional		$1,803.83	$2,055.38	$2,843.95