Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.92 / $1,256.50 / $1,978.61	Professional		$657.92	$1,256.50	$1,978.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,139.20 / $1,139.20	Professional		$1,139.20	$1,139.20	$1,139.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,278.00 / $8,431.35	Facility		$2,436.33	$4,278.00	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.33 / $1,464.90 / $1,996.18	Professional		$1,157.33	$1,464.90	$1,996.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,119.99 / $1,145.45	Facility		$80.00	$1,119.99	$1,145.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.06 / $1,424.06 / $1,424.06	Facility		$1,424.06	$1,424.06	$1,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.08 / $1,404.55 / $2,262.41	Professional		$794.08	$1,404.55	$2,262.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,396.40 / $11,737.44 / $16,394.00	Facility		$9,396.40	$11,737.44	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,058.00 / $9,240.71 / $10,798.05	Professional		$9,058.00	$9,240.71	$10,798.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $1,144.39 / $1,970.99	Facility		$681.85	$1,144.39	$1,970.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.14 / $1,852.97 / $2,297.67	Professional		$1,544.14	$1,852.97	$2,297.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $725.60 / $725.60 / $725.60	Professional		$725.60	$725.60	$725.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $1,156.28 / $2,098.53	Facility		$681.85	$1,156.28	$2,098.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.70 / $1,469.40 / $2,484.54	Professional		$831.70	$1,469.40	$2,484.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.41 / $1,182.58 / $1,967.25	Professional		$591.41	$1,182.58	$1,967.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,054.30 / $1,199.16 / $1,661.03	Professional		$1,054.30	$1,199.16	$1,661.03