Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,479.11	Professional		$776.25	$912.01	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $7,413.10	Facility		$1,698.24	$4,365.16	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,348.96	Professional		$794.33	$977.24	$1,348.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $794.33 / $812.83	Facility		$79.43	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Professional		$831.76	$1,148.15	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $8,912.51	Facility		$1,995.26	$1,995.26	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $7,413.10	Professional		$6,760.83	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $4,073.80	Facility		$812.83	$1,148.15	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,479.11	Professional		$776.25	$1,096.48	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Professional		$1,096.48	$1,096.48	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Facility		$794.33	$1,047.13	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,778.28	Professional		$794.33	$1,148.15	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14