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 $1,408.32 / $1,625.03 / $1,946.19	Professional		$1,408.32	$1,625.03	$1,946.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.36 / $691.36 / $691.36	Professional		$691.36	$691.36	$691.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $1,673.33 / $2,299.54	Professional		$1,312.98	$1,673.33	$2,299.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,316.09 / $1,316.09 / $1,316.09	Facility		$1,316.09	$1,316.09	$1,316.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.04 / $2,022.85 / $3,191.15	Professional		$1,508.04	$2,022.85	$3,191.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,480.46	Facility		$55.00	$55.00	$14,480.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,098.87 / $10,360.24 / $12,375.00	Professional		$10,098.87	$10,360.24	$12,375.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.32 / $1,758.23 / $3,334.73	Facility		$1,408.32	$1,758.23	$3,334.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.10 / $2,098.96 / $2,448.79	Professional		$1,819.10	$2,098.96	$2,448.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.66 / $1,809.65 / $5,218.39	Professional		$1,371.66	$1,809.65	$5,218.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,408.32 / $1,758.23 / $3,419.90	Facility		$1,408.32	$1,758.23	$3,419.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,508.04 / $2,043.99 / $3,296.31	Professional		$1,508.04	$2,043.99	$3,296.31
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 $1,235.70 / $1,654.79 / $2,597.92	Professional		$1,235.70	$1,654.79	$2,597.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,194.27 / $1,371.66 / $1,866.69	Professional		$1,194.27	$1,371.66	$1,866.69