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 $1,509.57 / $1,745.84 / $2,087.38	Professional		$1,509.57	$1,745.84	$2,087.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,618.64 / $1,618.64 / $1,618.64	Professional		$1,618.64	$1,618.64	$1,618.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,688.47 / $2,785.10 / $7,206.46	Facility		$1,688.47	$2,785.10	$7,206.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,418.34 / $1,795.28 / $2,501.21	Professional		$1,418.34	$1,795.28	$2,501.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,410.28 / $1,410.28 / $1,410.28	Facility		$1,410.28	$1,410.28	$1,410.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.80 / $2,200.54 / $3,472.28	Professional		$1,618.80	$2,200.54	$3,472.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,603.04	Facility		$55.00	$55.00	$27,603.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,828.00 / $11,104.24 / $13,276.50	Professional		$10,828.00	$11,104.24	$13,276.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,611.51 / $2,137.71 / $3,690.26	Facility		$1,611.51	$2,137.71	$3,690.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.14 / $2,251.32 / $2,626.54	Professional		$1,951.14	$2,251.32	$2,626.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.64 / $1,758.30 / $1,942.37	Professional		$1,678.64	$1,758.30	$1,942.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,611.51 / $2,160.00 / $3,954.98	Facility		$1,611.51	$2,160.00	$3,954.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,618.64 / $2,228.80 / $3,803.15	Professional		$1,618.64	$2,228.80	$3,803.15
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 $1,326.37 / $1,781.01 / $2,841.85	Professional		$1,326.37	$1,781.01	$2,841.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,280.96 / $1,471.64 / $2,001.77	Professional		$1,280.96	$1,471.64	$2,001.77