Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.90 / $3,682.00 / $12,826.00	Facility		$960.90	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.39 / $1,058.43 / $1,794.78	Professional		$927.39	$1,058.43	$1,794.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,235.93 / $1,235.93	Professional		$1,235.93	$1,235.93	$1,235.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.97 / $1,778.45 / $6,311.32	Facility		$1,054.97	$1,778.45	$6,311.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.88 / $1,217.50 / $1,659.06	Professional		$961.88	$1,217.50	$1,659.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $920.42 / $943.20	Facility		$80.00	$920.42	$943.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,183.90 / $1,183.90 / $1,183.90	Facility		$1,183.90	$1,183.90	$1,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.94 / $1,420.03 / $2,191.62	Professional		$1,058.94	$1,420.03	$2,191.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,954.00	Facility		$55.00	$55.00	$5,954.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,230.76 / $8,230.76 / $8,945.54	Professional		$8,230.76	$8,230.76	$8,945.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.02 / $1,408.49 / $2,230.94	Facility		$1,018.02	$1,408.49	$2,230.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.30 / $1,535.16 / $1,903.60	Professional		$1,279.30	$1,535.16	$1,903.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.28 / $1,770.28 / $3,783.80	Professional		$1,104.28	$1,770.28	$3,783.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,018.02 / $1,408.64 / $2,250.00	Facility		$1,018.02	$1,408.64	$2,250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,072.85 / $1,474.11 / $2,226.40	Professional		$1,072.85	$1,474.11	$2,226.40
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 $819.86 / $1,093.15 / $1,787.41	Professional		$819.86	$1,093.15	$1,787.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $873.48 / $994.29 / $1,375.70	Professional		$873.48	$994.29	$1,375.70