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 $1,621.54 / $1,908.27 / $2,543.59	Professional		$1,621.54	$1,908.27	$2,543.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,024.71 / $2,024.71 / $2,024.71	Professional		$2,024.71	$2,024.71	$2,024.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.17 / $1,966.70 / $2,679.98	Professional		$1,543.17	$1,966.70	$2,679.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,569.58 / $1,569.58 / $1,569.58	Facility		$1,569.58	$1,569.58	$1,569.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,760.62 / $2,293.29 / $3,554.86	Professional		$1,760.62	$2,293.29	$3,554.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $39,779.46	Facility		$55.00	$55.00	$39,779.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,161.85 / $15,161.85 / $15,161.85	Professional		$15,161.85	$15,161.85	$15,161.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,686.57 / $2,118.42 / $3,824.73	Facility		$1,686.57	$2,118.42	$3,824.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.59 / $2,465.30 / $2,876.18	Professional		$2,136.59	$2,465.30	$2,876.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.09 / $1,760.62 / $2,840.44	Professional		$1,562.09	$1,760.62	$2,840.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,686.57 / $2,172.17 / $4,725.34	Facility		$1,686.57	$2,172.17	$4,725.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,760.62 / $2,362.05 / $3,885.77	Professional		$1,760.62	$2,362.05	$3,885.77
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 $1,440.41 / $1,890.54 / $2,944.01	Professional		$1,440.41	$1,890.54	$2,944.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,402.70 / $1,606.26 / $2,196.13	Professional		$1,402.70	$1,606.26	$2,196.13