Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.25 / $1,782.15 / $2,800.70	Professional		$1,460.25	$1,782.15	$2,800.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,721.41 / $1,721.41 / $1,721.41	Professional		$1,721.41	$1,721.41	$1,721.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,736.52 / $2,992.72 / $9,222.87	Facility		$1,736.52	$2,992.72	$9,222.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.72 / $2,053.96 / $2,798.91	Professional		$1,622.72	$2,053.96	$2,798.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,552.70 / $1,592.66	Facility		$80.00	$1,552.70	$1,592.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.74 / $2,191.07 / $3,354.69	Professional		$1,473.74	$2,191.07	$3,354.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,067.86	Facility		$55.00	$55.00	$12,067.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,673.12 / $12,931.52 / $15,118.88	Professional		$12,673.12	$12,931.52	$15,118.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.05 / $1,815.70 / $2,940.98	Facility		$1,077.05	$1,815.70	$2,940.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.55 / $2,593.86 / $3,216.39	Professional		$2,161.55	$2,593.86	$3,216.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.36 / $3,001.93 / $6,436.54	Professional		$1,872.36	$3,001.93	$6,436.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.05 / $1,817.39 / $3,052.84	Facility		$1,077.05	$1,817.39	$3,052.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,544.78 / $2,355.14 / $3,654.25	Professional		$1,544.78	$2,355.14	$3,654.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.61 / $1,714.81 / $2,776.56	Professional		$1,189.61	$1,714.81	$2,776.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,475.85 / $1,680.56 / $2,323.90	Professional		$1,475.85	$1,680.56	$2,323.90