Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.99 / $795.62 / $1,335.77	Professional		$667.99	$795.62	$1,335.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,208.91 / $1,208.91 / $1,208.91	Professional		$1,208.91	$1,208.91	$1,208.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.08 / $4,349.00 / $8,431.35	Facility		$2,491.08	$4,349.00	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.89 / $905.75 / $1,238.06	Professional		$712.89	$905.75	$1,238.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $707.80 / $719.99	Facility		$80.00	$707.80	$719.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.03 / $886.03 / $886.03	Facility		$886.03	$886.03	$886.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $1,030.77 / $1,549.67	Professional		$772.70	$1,030.77	$1,549.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.52 / $11,500.00 / $26,542.00	Facility		$2,925.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,654.32 / $5,788.16 / $6,727.50	Professional		$5,654.32	$5,788.16	$6,727.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.08 / $895.90 / $1,457.91	Facility		$738.08	$895.90	$1,457.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $962.71 / $1,155.26 / $1,432.52	Professional		$962.71	$1,155.26	$1,432.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $829.40 / $1,299.33 / $1,358.03	Professional		$829.40	$1,299.33	$1,358.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.16 / $916.24 / $1,492.35	Facility		$743.16	$916.24	$1,492.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $1,068.94 / $1,632.67	Professional		$794.83	$1,068.94	$1,632.67
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 $610.91 / $831.26 / $1,304.09	Professional		$610.91	$831.26	$1,304.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $657.32 / $746.24 / $1,036.61	Professional		$657.32	$746.24	$1,036.61