Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,454.71	Professional		$1,412.54	$1,621.81	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,238.72	Professional		$1,318.26	$1,584.89	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,235.94	Professional		$1,513.56	$2,041.74	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,302.69 / $12,302.69	Professional		$10,000.00	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $6,918.31	Facility		$1,096.48	$2,187.76	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,398.83	Professional		$1,412.54	$1,862.09	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,370.32	Professional		$4,786.30	$4,786.30	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,388.44	Facility		$1,412.54	$1,862.09	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,090.30	Professional		$1,412.54	$1,949.84	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,570.40	Professional		$1,230.27	$1,659.59	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Professional		$1,288.25	$1,288.25	$1,445.44