Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.72 / $3,219.00 / $11,453.00	Facility		$859.72	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.72 / $1,036.93 / $1,637.34	Professional		$859.72	$1,036.93	$1,637.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,276.54 / $1,276.54 / $1,276.54	Professional		$1,276.54	$1,276.54	$1,276.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.81 / $3,687.04 / $8,137.05	Facility		$2,063.81	$3,687.04	$8,137.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.80 / $1,162.36 / $1,630.39	Professional		$938.80	$1,162.36	$1,630.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $937.92 / $955.42	Facility		$80.00	$937.92	$955.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.78 / $1,179.78 / $1,179.78	Facility		$1,179.78	$1,179.78	$1,179.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.53 / $1,376.78 / $2,078.77	Professional		$992.53	$1,376.78	$2,078.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,550.88 / $7,691.44 / $8,805.29	Professional		$7,550.88	$7,691.44	$8,805.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $949.42 / $1,194.38 / $2,068.78	Facility		$949.42	$1,194.38	$2,068.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.83 / $1,527.41 / $1,893.98	Professional		$1,272.83	$1,527.41	$1,893.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.30 / $1,127.05 / $1,306.56	Professional		$1,008.30	$1,127.05	$1,306.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $969.81 / $1,271.43 / $2,156.94	Facility		$969.81	$1,271.43	$2,156.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.39 / $1,400.90 / $2,145.29	Professional		$1,050.39	$1,400.90	$2,145.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $4,063.00 / $8,759.00	Facility		$1,380.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $828.06 / $1,108.85 / $1,769.58	Professional		$828.06	$1,108.85	$1,769.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $869.06 / $992.33 / $1,371.67	Professional		$869.06	$992.33	$1,371.67