Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,808.00 / $9,897.00	Facility		$727.00	$2,808.00	$9,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.48 / $1,034.85 / $1,709.30	Professional		$311.48	$1,034.85	$1,709.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $284.77 / $438.71	Professional		$284.77	$284.77	$438.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,411.01 / $4,350.91 / $8,396.98	Facility		$2,411.01	$4,350.91	$8,396.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $1,085.28 / $1,806.52	Professional		$285.89	$1,085.28	$1,806.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $286.86 / $3,827.99 / $3,827.99	Facility		$286.86	$3,827.99	$3,827.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.27 / $675.65 / $2,032.18	Professional		$351.27	$675.65	$2,032.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,006.55 / $26,542.00 / $26,542.00	Facility		$2,006.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,036.00 / $9,047.28 / $10,069.12	Professional		$5,036.00	$9,047.28	$10,069.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $1,197.56 / $2,196.02	Facility		$339.37	$1,197.56	$2,196.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.91 / $1,497.00 / $2,015.20	Professional		$391.91	$1,497.00	$2,015.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.00 / $2,069.00 / $2,069.00	Professional		$2,069.00	$2,069.00	$2,069.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $1,209.11 / $2,635.98	Facility		$339.37	$1,209.11	$2,635.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.99 / $951.72 / $2,219.44	Professional		$363.99	$951.72	$2,219.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.96 / $1,366.00 / $2,250.82	Professional		$1,064.96	$1,366.00	$2,250.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,096.89 / $1,560.44	Professional		$982.80	$1,096.89	$1,560.44