Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,594.00 / $7,542.00	Facility		$803.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.95 / $1,034.96 / $1,491.02	Professional		$869.95	$1,034.96	$1,491.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,212.69 / $1,212.69 / $1,212.69	Professional		$1,212.69	$1,212.69	$1,212.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.66 / $3,663.85 / $7,861.04	Facility		$1,892.66	$3,663.85	$7,861.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.18 / $1,222.95 / $1,703.85	Professional		$966.18	$1,222.95	$1,703.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $961.76 / $961.76 / $961.76	Facility		$961.76	$961.76	$961.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.72 / $1,405.89 / $2,171.64	Professional		$1,081.72	$1,405.89	$2,171.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,456.56 / $7,648.56 / $8,965.58	Professional		$7,456.56	$7,648.56	$8,965.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $994.01 / $1,263.25 / $2,325.08	Facility		$994.01	$1,263.25	$2,325.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.38 / $1,563.40 / $1,839.29	Professional		$1,328.38	$1,563.40	$1,839.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.53 / $1,310.20 / $1,844.49	Professional		$1,100.53	$1,310.20	$1,844.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $994.01 / $1,319.94 / $2,384.46	Facility		$994.01	$1,319.94	$2,384.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,093.47 / $1,448.28 / $2,233.96	Professional		$1,093.47	$1,448.28	$2,233.96
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.05 / $1,208.71 / $1,834.09	Professional		$878.05	$1,208.71	$1,834.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.10 / $994.01 / $1,371.09	Professional		$872.10	$994.01	$1,371.09