Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.29 / $2,099.19 / $3,538.79	Professional		$1,839.29	$2,099.19	$3,538.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.07 / $2,570.07 / $2,570.07	Professional		$2,570.07	$2,570.07	$2,570.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,103.48 / $3,513.87 / $10,886.53	Facility		$2,103.48	$3,513.87	$10,886.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,909.59 / $2,417.08 / $3,293.70	Professional		$1,909.59	$2,417.08	$3,293.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,816.55 / $1,866.26	Facility		$80.00	$1,816.55	$1,866.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,355.71	Facility		$2,355.71	$2,355.71	$2,355.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,990.91 / $2,753.12 / $4,304.33	Professional		$1,990.91	$2,753.12	$4,304.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,003.23	Facility		$55.00	$55.00	$26,003.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,898.96 / $15,208.80 / $17,772.15	Professional		$14,898.96	$15,208.80	$17,772.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,021.89 / $2,643.20 / $4,170.21	Facility		$2,021.89	$2,643.20	$4,170.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,541.23 / $3,049.47 / $3,781.34	Professional		$2,541.23	$3,049.47	$3,781.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,149.61 / $2,409.58 / $3,553.07	Professional		$2,149.61	$2,409.58	$3,553.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,021.89 / $2,649.22 / $4,345.29	Facility		$2,021.89	$2,649.22	$4,345.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,098.59 / $2,869.15 / $4,344.93	Professional		$2,098.59	$2,869.15	$4,344.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,686.09 / $2,275.21 / $3,637.53	Professional		$1,686.09	$2,275.21	$3,637.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,735.09 / $1,976.98 / $2,731.47	Professional		$1,735.09	$1,976.98	$2,731.47