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 $1,562.54 / $1,853.10 / $2,577.48	Professional		$1,562.54	$1,853.10	$2,577.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,562.11 / $1,562.11 / $1,562.11	Professional		$1,562.11	$1,562.11	$1,562.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.07 / $1,911.38 / $2,662.98	Professional		$1,510.07	$1,911.38	$2,662.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,544.90 / $1,544.90 / $1,544.90	Facility		$1,544.90	$1,544.90	$1,544.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.90 / $2,269.85 / $3,616.00	Professional		$1,709.90	$2,269.85	$3,616.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,779.23	Facility		$55.00	$55.00	$38,779.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,176.00 / $19,176.00 / $19,176.00	Professional		$19,176.00	$19,176.00	$19,176.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,709.90 / $2,175.32 / $4,333.50	Facility		$1,709.90	$2,175.32	$4,333.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.65 / $2,400.75 / $2,800.88	Professional		$2,080.65	$2,400.75	$2,800.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.70 / $3,156.70 / $3,156.70	Professional		$3,156.70	$3,156.70	$3,156.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,709.90 / $2,219.30 / $4,389.68	Facility		$1,709.90	$2,219.30	$4,389.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,709.90 / $2,299.36 / $3,748.56	Professional		$1,709.90	$2,299.36	$3,748.56
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 $1,397.51 / $1,827.63 / $2,871.39	Professional		$1,397.51	$1,827.63	$2,871.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,365.98 / $1,562.11 / $2,140.21	Professional		$1,365.98	$1,562.11	$2,140.21