Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.96 / $3,213.00 / $10,836.00	Facility		$813.96	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.24 / $848.19 / $1,097.51	Professional		$738.24	$848.19	$1,097.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $846.86 / $846.86 / $846.86	Professional		$846.86	$846.86	$846.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,155.08 / $4,059.90 / $7,726.91	Facility		$2,155.08	$4,059.90	$7,726.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.64 / $936.21 / $1,304.34	Professional		$739.64	$936.21	$1,304.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $618.08 / $618.08 / $618.08	Facility		$618.08	$618.08	$618.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.03 / $1,011.91 / $1,564.01	Professional		$729.03	$1,011.91	$1,564.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,089.12 / $5,291.28 / $5,944.13	Professional		$5,089.12	$5,291.28	$5,944.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.31 / $951.37 / $1,691.57	Facility		$726.31	$951.37	$1,691.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.89 / $1,049.69 / $1,234.93	Professional		$891.89	$1,049.69	$1,234.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $628.91 / $722.94 / $861.01	Professional		$628.91	$722.94	$861.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.31 / $995.63 / $1,902.03	Facility		$726.31	$995.63	$1,902.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.01 / $1,028.04 / $1,625.26	Professional		$741.01	$1,028.04	$1,625.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.47 / $872.23 / $1,355.27	Professional		$628.47	$872.23	$1,355.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $585.54 / $661.72 / $927.61	Professional		$585.54	$661.72	$927.61