Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,507.00 / $10,639.00	Facility		$935.00	$3,507.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,250.35 / $2,166.53	Professional		$1,051.57	$1,250.35	$2,166.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,288.21 / $1,466.11	Professional		$1,171.09	$1,288.21	$1,466.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,439.00 / $18,089.08 / $35,940.14	Facility		$9,439.00	$18,089.08	$35,940.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.23 / $1,389.47 / $1,948.93	Professional		$1,122.23	$1,389.47	$1,948.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,103.70 / $1,125.49	Facility		$80.00	$1,103.70	$1,125.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $1,388.99 / $1,388.99	Facility		$1,388.99	$1,388.99	$1,388.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.91 / $1,616.64 / $2,509.84	Professional		$1,208.91	$1,616.64	$2,509.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $33,500.00 / $48,089.50	Facility		$11,500.00	$33,500.00	$48,089.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,345.25 / $9,345.25 / $10,556.63	Professional		$9,345.25	$9,345.25	$10,556.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.01 / $1,522.43 / $2,543.36	Facility		$1,191.01	$1,522.43	$2,543.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.78 / $1,811.73 / $2,246.55	Professional		$1,509.78	$1,811.73	$2,246.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.61 / $1,564.73 / $2,528.26	Professional		$1,168.61	$1,564.73	$2,528.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.01 / $1,533.67 / $2,696.45	Facility		$1,191.01	$1,533.67	$2,696.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.55 / $1,674.85 / $2,549.32	Professional		$1,243.55	$1,674.85	$2,549.32
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 $970.21 / $1,313.85 / $2,048.41	Professional		$970.21	$1,313.85	$2,048.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,030.83 / $1,171.09 / $1,624.91	Professional		$1,030.83	$1,171.09	$1,624.91