Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.52 / $3,580.00 / $12,941.00	Facility		$804.52	$3,580.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.24 / $978.14 / $1,642.88	Professional		$860.24	$978.14	$1,642.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $610.34 / $610.34	Professional		$610.34	$610.34	$610.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $938.77 / $1,585.50 / $8,127.88	Facility		$938.77	$1,585.50	$8,127.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.47 / $1,077.39 / $1,534.30	Professional		$883.47	$1,077.39	$1,534.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $869.53 / $885.50	Facility		$80.00	$869.53	$885.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,089.18	Facility		$1,089.18	$1,089.18	$1,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.59 / $1,270.13 / $1,953.27	Professional		$947.59	$1,270.13	$1,953.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,516.60	Facility		$55.00	$55.00	$5,516.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,945.68 / $7,097.44 / $8,280.83	Professional		$6,945.68	$7,097.44	$8,280.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.29 / $1,200.00 / $1,869.82	Facility		$926.29	$1,200.00	$1,869.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $1,420.67 / $1,761.62	Professional		$1,183.89	$1,420.67	$1,761.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $994.73 / $1,241.70 / $2,157.94	Professional		$994.73	$1,241.70	$2,157.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,203.02 / $1,931.83	Facility		$930.84	$1,203.02	$1,931.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.52 / $1,317.17 / $1,999.11	Professional		$964.52	$1,317.17	$1,999.11
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 $744.35 / $992.46 / $1,587.69	Professional		$744.35	$992.46	$1,587.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.33 / $917.81 / $1,274.32	Professional		$808.33	$917.81	$1,274.32