Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $10,893.00	Facility		$969.00	$3,511.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.83 / $1,388.12 / $2,383.62	Professional		$1,153.83	$1,388.12	$2,383.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,244.80 / $1,357.16 / $1,868.26	Professional		$1,244.80	$1,357.16	$1,868.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $17,851.06 / $34,924.07	Facility		$8,449.50	$17,851.06	$34,924.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.11 / $1,555.26 / $2,181.46	Professional		$1,256.11	$1,555.26	$2,181.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,226.99 / $16,185.43 / $16,185.43	Facility		$1,226.99	$16,185.43	$16,185.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.75 / $1,816.97 / $2,813.71	Professional		$1,352.75	$1,816.97	$2,813.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,500.00 / $62,401.75	Facility		$55.00	$33,500.00	$62,401.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,902.24 / $10,099.68 / $11,805.98	Professional		$9,902.24	$10,099.68	$11,805.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.63 / $1,744.93 / $2,759.93	Facility		$1,320.63	$1,744.93	$2,759.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.09 / $2,025.71 / $2,511.87	Professional		$1,688.09	$2,025.71	$2,511.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.35 / $1,622.60 / $3,072.08	Professional		$1,398.35	$1,622.60	$3,072.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,322.02 / $1,746.52 / $2,830.76	Facility		$1,322.02	$1,746.52	$2,830.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,398.57 / $1,885.03 / $2,857.10	Professional		$1,398.57	$1,885.03	$2,857.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.72 / $1,476.72 / $2,309.28	Professional		$1,086.72	$1,476.72	$2,309.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.58 / $1,310.32 / $1,816.17	Professional		$1,152.58	$1,310.32	$1,816.17