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 $1,482.72 / $1,694.83 / $2,031.86	Professional		$1,482.72	$1,694.83	$2,031.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,429.36 / $1,429.36 / $1,429.36	Professional		$1,429.36	$1,429.36	$1,429.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.10 / $1,748.14 / $2,435.54	Professional		$1,381.10	$1,748.14	$2,435.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,417.12 / $1,417.12 / $1,417.12	Facility		$1,417.12	$1,417.12	$1,417.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.18 / $2,073.09 / $3,285.07	Professional		$1,564.18	$2,073.09	$3,285.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $43,956.38	Facility		$55.00	$55.00	$43,956.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,665.00 / $18,665.00 / $18,665.00	Professional		$18,665.00	$18,665.00	$18,665.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.18 / $1,943.29 / $3,700.02	Facility		$1,564.18	$1,943.29	$3,700.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.46 / $2,197.46 / $2,563.69	Professional		$1,904.46	$2,197.46	$2,563.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,903.40 / $2,903.40 / $2,903.40	Professional		$2,903.40	$2,903.40	$2,903.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,564.18 / $2,000.55 / $3,866.45	Facility		$1,564.18	$2,000.55	$3,866.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,564.18 / $2,100.76 / $3,411.64	Professional		$1,564.18	$2,100.76	$3,411.64
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 $1,272.08 / $1,672.20 / $2,670.67	Professional		$1,272.08	$1,672.20	$2,670.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,250.31 / $1,429.36 / $1,959.30	Professional		$1,250.31	$1,429.36	$1,959.30