Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,377.00	Facility		$983.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.18 / $1,182.11 / $2,009.33	Professional		$1,039.18	$1,182.11	$2,009.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,058.22 / $1,443.83	Professional		$1,058.22	$1,058.22	$1,443.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.76 / $9,391.66 / $19,142.24	Facility		$5,383.76	$9,391.66	$19,142.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.45 / $1,361.26 / $1,854.97	Professional		$1,075.45	$1,361.26	$1,854.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,042.03 / $1,064.72	Facility		$80.00	$1,042.03	$1,064.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.73 / $1,579.22 / $2,411.96	Professional		$1,183.73	$1,579.22	$2,411.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.08 / $25,239.65 / $26,542.00	Facility		$4,365.08	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,810.18 / $9,100.92 / $10,035.23	Professional		$8,810.18	$9,100.92	$10,035.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $1,579.33 / $2,438.71	Facility		$1,142.04	$1,579.33	$2,438.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.98 / $1,721.97 / $2,135.23	Professional		$1,434.98	$1,721.97	$2,135.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.10 / $1,946.39 / $2,027.02	Professional		$1,597.10	$1,946.39	$2,027.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $1,592.82 / $2,572.02	Facility		$1,142.04	$1,592.82	$2,572.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.53 / $1,651.13 / $2,423.91	Professional		$1,195.53	$1,651.13	$2,423.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,358.00 / $16,000.00	Facility		$2,605.00	$7,358.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.34 / $1,276.76 / $1,990.80	Professional		$947.34	$1,276.76	$1,990.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.77 / $1,113.92 / $1,543.83	Professional		$979.77	$1,113.92	$1,543.83