Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.95 / $1,445.47 / $1,984.38	Professional		$1,192.95	$1,445.47	$1,984.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $568.97 / $568.97	Professional		$568.97	$568.97	$568.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.73 / $1,529.96 / $2,151.54	Professional		$1,208.73	$1,529.96	$2,151.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,239.27 / $1,239.27 / $1,239.27	Facility		$1,239.27	$1,239.27	$1,239.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.42 / $1,784.32 / $2,763.35	Professional		$1,368.42	$1,784.32	$2,763.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,268.78	Facility		$55.00	$55.00	$16,268.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,279.52 / $9,508.08 / $11,313.08	Professional		$9,279.52	$9,508.08	$11,313.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.57 / $1,719.29 / $2,954.50	Facility		$1,281.57	$1,719.29	$2,954.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.73 / $1,960.80 / $2,306.83	Professional		$1,409.73	$1,960.80	$2,306.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.70 / $1,999.70 / $1,999.70	Professional		$1,999.70	$1,999.70	$1,999.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.00 / $1,729.29 / $3,327.43	Facility		$1,274.00	$1,729.29	$3,327.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.54 / $1,826.47 / $2,947.89	Professional		$1,375.54	$1,826.47	$2,947.89
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.29 / $1,536.71 / $2,424.17	Professional		$1,113.29	$1,536.71	$2,424.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.78 / $1,250.49 / $1,714.00	Professional		$1,093.78	$1,250.49	$1,714.00