Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.00 / $3,682.00 / $12,826.00	Facility		$985.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.14 / $1,199.67 / $2,024.19	Professional		$1,051.14	$1,199.67	$2,024.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,221.32 / $1,221.32 / $1,221.32	Professional		$1,221.32	$1,221.32	$1,221.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.70 / $2,011.90 / $8,982.00	Facility		$1,177.70	$2,011.90	$8,982.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.69 / $1,383.08 / $1,884.70	Professional		$1,092.69	$1,383.08	$1,884.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,336.30 / $1,368.05	Facility		$80.00	$1,336.30	$1,368.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.78 / $1,342.78 / $1,342.78	Facility		$1,342.78	$1,342.78	$1,342.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.95 / $1,581.00 / $2,436.96	Professional		$1,181.95	$1,581.00	$2,436.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,141.64	Facility		$55.00	$55.00	$8,141.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,547.04 / $8,723.60 / $10,186.87	Professional		$8,547.04	$8,723.60	$10,186.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.45 / $1,503.76 / $2,567.85	Facility		$1,153.45	$1,503.76	$2,567.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,748.16 / $2,167.71	Professional		$1,456.80	$1,748.16	$2,167.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.10 / $1,977.31 / $2,059.30	Professional		$1,530.10	$1,977.31	$2,059.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,153.45 / $1,507.29 / $2,610.29	Facility		$1,153.45	$1,507.29	$2,610.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,209.26 / $1,644.04 / $2,479.19	Professional		$1,209.26	$1,644.04	$2,479.19
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 $941.16 / $1,278.96 / $2,009.62	Professional		$941.16	$1,278.96	$2,009.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $994.67 / $1,130.83 / $1,567.40	Professional		$994.67	$1,130.83	$1,567.40