Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $12,882.50	Facility		$1,071.52	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,548.13	Professional		$1,778.28	$2,137.96	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $15,848.93	Facility		$4,365.16	$7,762.47	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,311.31	Professional		$1,905.46	$2,454.71	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,089.30	Facility		$79.43	$2,041.74	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,168.69	Professional		$1,905.46	$2,691.53	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $19,054.61 / $19,054.61	Professional		$14,454.40	$19,054.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,801.89	Professional		$1,819.70	$2,691.53	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $275.42 / $1,819.70	Professional		$32.36	$275.42	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,890.45	Professional		$2,290.87	$2,290.87	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,365.16	Facility		$1,862.09	$2,454.71	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $4,265.80	Professional		$1,862.09	$2,691.53	$4,265.80
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 $1,548.82 / $2,089.30 / $3,235.94	Professional		$1,548.82	$2,089.30	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $2,238.72	Professional		$1,995.26	$2,238.72	$2,238.72