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 $2,477.88 / $2,828.01 / $4,762.64	Professional		$2,477.88	$2,828.01	$4,762.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.65 / $477.65 / $3,512.12	Professional		$477.65	$477.65	$3,512.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,571.67 / $3,255.11 / $4,435.67	Professional		$2,571.67	$3,255.11	$4,435.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,429.07 / $2,500.81	Facility		$80.00	$2,429.07	$2,500.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,668.02 / $3,693.20 / $5,695.47	Professional		$2,668.02	$3,693.20	$5,695.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $34,953.49	Facility		$55.00	$55.00	$34,953.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,031.91 / $20,458.32 / $23,900.03	Professional		$20,031.91	$20,458.32	$23,900.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,660.70 / $3,384.29 / $5,319.45	Facility		$2,660.70	$3,384.29	$5,319.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,417.41 / $4,100.89 / $5,085.10	Professional		$3,417.41	$4,100.89	$5,085.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,877.64 / $3,238.68 / $4,780.83	Professional		$2,877.64	$3,238.68	$4,780.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,660.70 / $3,406.55 / $5,455.53	Facility		$2,660.70	$3,406.55	$5,455.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,698.12 / $3,819.21 / $5,842.24	Professional		$2,698.12	$3,819.21	$5,842.24
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 $2,217.21 / $2,965.66 / $4,704.39	Professional		$2,217.21	$2,965.66	$4,704.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,333.33 / $2,660.70 / $3,672.03	Professional		$2,333.33	$2,660.70	$3,672.03