Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,941.00	Facility		$969.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.30 / $1,060.40 / $1,673.84	Professional		$923.30	$1,060.40	$1,673.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,253.67 / $1,253.67 / $1,253.67	Professional		$1,253.67	$1,253.67	$1,253.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,325.17 / $8,403.96	Facility		$2,326.83	$4,325.17	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.29 / $1,187.73 / $1,665.96	Professional		$959.29	$1,187.73	$1,665.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $945.92 / $963.21	Facility		$80.00	$945.92	$963.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $1,187.74 / $1,187.74	Facility		$1,187.74	$1,187.74	$1,187.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.63 / $1,335.92 / $2,024.26	Professional		$946.63	$1,335.92	$2,024.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,924.52 / $11,500.00 / $26,542.00	Facility		$3,924.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,573.76 / $7,722.88 / $9,030.98	Professional		$7,573.76	$7,722.88	$9,030.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $962.23 / $1,191.31 / $1,903.05	Facility		$962.23	$1,191.31	$1,903.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.03 / $1,549.23 / $1,921.05	Professional		$1,291.03	$1,549.23	$1,921.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.97 / $1,940.15 / $3,919.03	Professional		$1,227.97	$1,940.15	$3,919.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.10 / $1,198.30 / $1,946.50	Facility		$964.10	$1,198.30	$1,946.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $980.56 / $1,401.57 / $2,134.81	Professional		$980.56	$1,401.57	$2,134.81
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,077.10 / $1,680.96	Professional		$798.00	$1,077.10	$1,680.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $881.48 / $1,000.75 / $1,389.69	Professional		$881.48	$1,000.75	$1,389.69