Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,872.00 / $12,040.00	Facility		$1,002.00	$3,872.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $942.08 / $1,495.88	Professional		$804.25	$942.08	$1,495.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,154.75 / $1,154.75 / $1,154.75	Professional		$1,154.75	$1,154.75	$1,154.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.44 / $2,277.06 / $5,042.05	Facility		$1,309.44	$2,277.06	$5,042.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.21 / $1,056.39 / $1,481.74	Professional		$853.21	$1,056.39	$1,481.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $839.76 / $856.40	Facility		$80.00	$839.76	$856.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.06 / $1,242.13 / $1,907.68	Professional		$934.06	$1,242.13	$1,907.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,350.55 / $26,542.00 / $33,500.00	Facility		$5,350.55	$26,542.00	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,737.20 / $6,866.88 / $8,035.95	Professional		$6,737.20	$6,866.88	$8,035.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,186.34 / $1,837.06	Facility		$908.50	$1,186.34	$1,837.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.70 / $1,378.44 / $1,709.27	Professional		$1,148.70	$1,378.44	$1,709.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $889.38 / $1,202.90 / $1,924.58	Professional		$889.38	$1,202.90	$1,924.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.86 / $1,190.32 / $1,887.20	Facility		$908.86	$1,190.32	$1,887.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.88 / $1,296.88 / $1,940.06	Professional		$951.88	$1,296.88	$1,940.06
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 $737.29 / $1,006.58 / $1,601.60	Professional		$737.29	$1,006.58	$1,601.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $784.30 / $891.04 / $1,236.09	Professional		$784.30	$891.04	$1,236.09