Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.72 / $888.75 / $1,507.06	Professional		$778.72	$888.75	$1,507.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $509.52 / $509.52 / $509.52	Professional		$509.52	$509.52	$509.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.71 / $1,493.56 / $6,985.15	Facility		$882.71	$1,493.56	$6,985.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.38 / $1,020.72 / $1,395.21	Professional		$803.38	$1,020.72	$1,395.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $779.20 / $797.05	Facility		$80.00	$779.20	$797.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.71 / $1,198.32 / $1,822.36	Professional		$889.71	$1,198.32	$1,822.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,007.55	Facility		$55.00	$55.00	$5,007.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,777.50 / $7,001.16 / $7,520.85	Professional		$6,777.50	$7,001.16	$7,520.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $855.93 / $1,189.60 / $1,849.68	Facility		$855.93	$1,189.60	$1,849.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.53 / $1,290.63 / $1,600.38	Professional		$1,075.53	$1,290.63	$1,600.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $935.52 / $1,489.01 / $3,199.12	Professional		$935.52	$1,489.01	$3,199.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $855.93 / $1,195.42 / $1,927.92	Facility		$855.93	$1,195.42	$1,927.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.54 / $1,246.78 / $1,864.21	Professional		$899.54	$1,246.78	$1,864.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.44 / $960.03 / $1,524.69	Professional		$707.44	$960.03	$1,524.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $835.28 / $1,156.92	Professional		$734.34	$835.28	$1,156.92