Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $12,882.50	Facility		$1,071.52	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,584.89	Professional		$794.33	$933.25	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,709.64	Facility		$2,570.40	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $831.76 / $831.76	Facility		$79.43	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,819.70	Professional		$870.96	$1,174.90	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,762.47 / $7,762.47	Professional		$6,918.31	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $4,168.69	Facility		$870.96	$1,230.27	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,548.82	Professional		$794.33	$1,148.15	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $758.58	Professional		$32.36	$114.82	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $3,235.94	Professional		$1,202.26	$3,090.30	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,949.84	Facility		$870.96	$1,174.90	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,862.09	Professional		$831.76	$1,174.90	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,445.44	Professional		$707.95	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $891.25	Professional		$812.83	$891.25	$891.25