Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,620.00 / $12,377.00	Facility		$923.00	$3,620.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.73 / $833.98 / $1,419.10	Professional		$730.73	$833.98	$1,419.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $747.88 / $747.88	Professional		$747.88	$747.88	$747.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,656.37 / $9,032.74 / $17,886.03	Facility		$4,656.37	$9,032.74	$17,886.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.27 / $962.31 / $1,311.32	Professional		$760.27	$962.31	$1,311.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $744.09 / $758.19	Facility		$80.00	$744.09	$758.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $934.05	Facility		$934.05	$934.05	$934.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.15 / $1,094.08 / $1,685.64	Professional		$815.15	$1,094.08	$1,685.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,629.89 / $19,913.50 / $26,542.00	Facility		$4,629.89	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,956.96 / $6,075.12 / $7,100.63	Professional		$5,956.96	$6,075.12	$7,100.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.84 / $1,035.86 / $1,590.16	Facility		$802.84	$1,035.86	$1,590.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.28 / $1,218.33 / $1,510.73	Professional		$1,015.28	$1,218.33	$1,510.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.10 / $1,027.92 / $1,423.01	Professional		$933.10	$1,027.92	$1,423.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.84 / $1,038.50 / $1,657.03	Facility		$802.84	$1,038.50	$1,657.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.40 / $1,136.94 / $1,706.32	Professional		$839.40	$1,136.94	$1,706.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,591.00 / $13,237.00	Facility		$2,182.00	$6,591.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $885.51 / $1,381.54	Professional		$654.61	$885.51	$1,381.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $693.21 / $787.24 / $1,092.80	Professional		$693.21	$787.24	$1,092.80