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 $1,151.28 / $1,313.96 / $2,215.69	Professional		$1,151.28	$1,313.96	$2,215.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $222.21 / $1,633.92	Professional		$222.21	$222.21	$1,633.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.34 / $2,448.52 / $28,180.60	Facility		$1,345.34	$2,448.52	$28,180.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.26 / $1,471.23 / $2,063.61	Professional		$1,188.26	$1,471.23	$2,063.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,153.98 / $1,180.30	Facility		$80.00	$1,153.98	$1,180.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $1,471.08 / $1,471.08	Facility		$1,471.08	$1,471.08	$1,471.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.83 / $1,733.43 / $2,667.73	Professional		$1,288.83	$1,733.43	$2,667.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,389.68	Facility		$55.00	$55.00	$10,389.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,350.40 / $9,545.36 / $11,145.08	Professional		$9,350.40	$9,545.36	$11,145.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.98 / $1,616.61 / $2,607.64	Facility		$1,260.98	$1,616.61	$2,607.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.88 / $1,912.65 / $2,371.69	Professional		$1,593.88	$1,912.65	$2,371.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.62 / $1,657.40 / $2,898.83	Professional		$1,312.62	$1,657.40	$2,898.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,260.98 / $1,616.61 / $2,635.28	Facility		$1,260.98	$1,616.61	$2,635.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,322.98 / $1,805.02 / $2,709.64	Professional		$1,322.98	$1,805.02	$2,709.64
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 $1,016.65 / $1,403.38 / $2,196.52	Professional		$1,016.65	$1,403.38	$2,196.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,088.26 / $1,237.82 / $1,714.54	Professional		$1,088.26	$1,237.82	$1,714.54