Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,620.00 / $12,377.00	Facility		$983.00	$3,620.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.88 / $1,087.52 / $1,832.73	Professional		$952.88	$1,087.52	$1,832.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.76 / $552.76 / $663.31	Professional		$552.76	$552.76	$663.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.09 / $1,802.88 / $6,131.00	Facility		$1,062.09	$1,802.88	$6,131.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.88 / $1,252.95 / $1,707.37	Professional		$989.88	$1,252.95	$1,707.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,329.10 / $1,360.60	Facility		$80.00	$1,329.10	$1,360.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,215.80 / $1,215.80	Facility		$1,215.80	$1,215.80	$1,215.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.72 / $1,428.43 / $2,197.16	Professional		$1,063.72	$1,428.43	$2,197.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $6,145.60	Facility		$55.00	$2,000.00	$6,145.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,214.82 / $9,214.82 / $9,224.70	Professional		$9,214.82	$9,214.82	$9,224.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.34 / $1,356.36 / $2,320.00	Facility		$1,044.34	$1,356.36	$2,320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.34 / $1,583.21 / $1,963.17	Professional		$1,319.34	$1,583.21	$1,963.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.00 / $1,413.00 / $1,413.00	Professional		$1,413.00	$1,413.00	$1,413.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.34 / $1,357.60 / $2,360.16	Facility		$1,044.34	$1,357.60	$2,360.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,086.33 / $1,483.35 / $2,233.62	Professional		$1,086.33	$1,483.35	$2,233.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.19 / $1,171.18 / $1,815.81	Professional		$851.19	$1,171.18	$1,815.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.81 / $1,023.87 / $1,419.67	Professional		$900.81	$1,023.87	$1,419.67