Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,754.23	Professional		$1,202.26	$1,445.44	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,584.89	Professional		$602.56	$602.56	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $8,128.31	Facility		$1,412.54	$2,398.83	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,232.93 / $10,232.93	Facility		$1,174.90	$10,232.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,818.38	Professional		$1,288.25	$1,819.70	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $4,570.88	Facility		$1,202.26	$1,819.70	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,187.76	Professional		$1,202.26	$1,621.81	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $1,122.02	Professional		$32.36	$169.82	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,511.89	Professional		$1,479.11	$1,479.11	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,019.95	Facility		$1,258.93	$1,698.24	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,884.03	Professional		$1,258.93	$1,778.28	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,238.72	Professional		$1,096.48	$1,445.44	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,258.93	Professional		$1,174.90	$1,258.93	$1,258.93