Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,643.00 / $10,893.00	Facility		$969.00	$3,643.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.96 / $1,685.46 / $2,844.74	Professional		$1,442.96	$1,685.46	$2,844.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,589.24 / $1,589.24 / $1,589.24	Professional		$1,589.24	$1,589.24	$1,589.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,045.78 / $9,092.56 / $18,364.59	Facility		$5,045.78	$9,092.56	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.83 / $1,887.96 / $2,648.13	Professional		$1,524.83	$1,887.96	$2,648.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,476.30 / $1,511.43	Facility		$80.00	$1,476.30	$1,511.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.62 / $2,225.87 / $3,424.82	Professional		$1,651.62	$2,225.87	$3,424.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $33,500.00	Facility		$1,800.00	$19,913.50	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,538.00 / $12,538.00 / $14,305.20	Professional		$12,538.00	$12,538.00	$14,305.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,589.24 / $2,116.09 / $3,349.36	Facility		$1,589.24	$2,116.09	$3,349.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,045.51 / $2,454.62 / $3,043.72	Professional		$2,045.51	$2,454.62	$3,043.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.73 / $2,118.40 / $3,435.24	Professional		$1,563.73	$2,118.40	$3,435.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $2,118.40 / $3,456.03	Facility		$1,600.60	$2,118.40	$3,456.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,689.69 / $2,302.37 / $3,498.88	Professional		$1,689.69	$2,302.37	$3,498.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.56 / $1,831.50 / $2,842.93	Professional		$1,330.56	$1,831.50	$2,842.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,396.63 / $1,589.24 / $2,199.88	Professional		$1,396.63	$1,589.24	$2,199.88