Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $11,453.00	Facility		$969.00	$3,682.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,027.58 / $1,349.06	Professional		$858.00	$1,027.58	$1,349.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $556.37 / $556.37	Professional		$556.37	$556.37	$556.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,121.85 / $7,341.00 / $14,503.08	Facility		$4,121.85	$7,341.00	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.99 / $1,088.54 / $1,516.58	Professional		$859.99	$1,088.54	$1,516.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $852.99 / $852.99 / $852.99	Facility		$852.99	$852.99	$852.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.95 / $1,190.08 / $1,865.07	Professional		$912.95	$1,190.08	$1,865.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,299.54 / $7,299.54 / $7,873.20	Professional		$7,299.54	$7,299.54	$7,873.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.36 / $1,173.72 / $2,112.00	Facility		$870.36	$1,173.72	$2,112.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.67 / $1,387.21 / $1,632.01	Professional		$1,178.67	$1,387.21	$1,632.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $963.70 / $963.70 / $963.70	Professional		$963.70	$963.70	$963.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.36 / $1,183.35 / $2,304.00	Facility		$870.36	$1,183.35	$2,304.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $1,200.92 / $1,952.91	Professional		$925.53	$1,200.92	$1,952.91
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 $732.22 / $995.89 / $1,530.75	Professional		$732.22	$995.89	$1,530.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.82 / $870.36 / $1,227.42	Professional		$773.82	$870.36	$1,227.42