Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.91 / $844.46 / $1,424.77	Professional		$739.91	$844.46	$1,424.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $795.96 / $795.96 / $795.96	Professional		$795.96	$795.96	$795.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,259.16 / $18,089.08 / $35,940.14	Facility		$8,259.16	$18,089.08	$35,940.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.11 / $943.60 / $1,323.53	Professional		$762.11	$943.60	$1,323.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $740.13 / $751.47	Facility		$80.00	$740.13	$751.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.84 / $944.84 / $944.84	Facility		$944.84	$944.84	$944.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.97 / $1,092.99 / $1,655.47	Professional		$812.97	$1,092.99	$1,655.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,118.36 / $26,542.00 / $61,067.60	Facility		$3,118.36	$26,542.00	$61,067.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,554.88 / $6,554.88 / $7,160.63	Professional		$6,554.88	$6,554.88	$7,160.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.68 / $1,034.75 / $1,669.90	Facility		$798.68	$1,034.75	$1,669.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.00 / $1,232.40 / $1,528.18	Professional		$1,027.00	$1,232.40	$1,528.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $892.64 / $983.75 / $1,392.93	Professional		$892.64	$983.75	$1,392.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.12 / $1,036.02 / $1,716.00	Facility		$799.12	$1,036.02	$1,716.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $827.45 / $1,128.31 / $1,707.26	Professional		$827.45	$1,128.31	$1,707.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.91 / $862.54 / $1,391.28	Professional		$646.91	$862.54	$1,391.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.21 / $795.96 / $1,106.72	Professional		$701.21	$795.96	$1,106.72