Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,187.76	Professional		$1,096.48	$1,318.26	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $10,000.00	Facility		$1,258.93	$2,187.76	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,949.84	Professional		$1,148.15	$1,445.44	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,288.25	Facility		$79.43	$1,258.93	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $4,365.16	Facility		$1,148.15	$1,659.59	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,344.23	Professional		$1,122.02	$1,659.59	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $158.49 / $1,071.52	Professional		$32.36	$158.49	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,344.23	Professional		$1,348.96	$1,348.96	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,691.53	Facility		$1,174.90	$1,584.89	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,041.74	Professional		$1,000.00	$1,318.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,348.96	Professional		$1,258.93	$1,348.96	$1,348.96