Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $4,028.00 / $13,813.00	Facility		$945.00	$4,028.00	$13,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.55 / $1,411.00 / $6,043.13	Professional		$309.55	$1,411.00	$6,043.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $292.76 / $310.41	Professional		$136.16	$292.76	$310.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,459.41 / $15,556.31 / $31,013.54	Facility		$9,459.41	$15,556.31	$31,013.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $3,512.09 / $5,677.29	Professional		$283.72	$3,512.09	$5,677.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $273.79 / $273.79 / $273.79	Facility		$273.79	$273.79	$273.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,552.42 / $10,552.42 / $10,552.42	Facility		$10,552.42	$10,552.42	$10,552.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.40 / $648.67 / $8,553.69	Professional		$351.40	$648.67	$8,553.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,239.76	Facility		$55.00	$55.00	$7,239.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,959.71 / $29,148.69 / $33,586.65	Professional		$14,959.71	$29,148.69	$33,586.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.80 / $1,408.51 / $7,187.95	Facility		$314.80	$1,408.51	$7,187.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.70 / $4,998.12 / $6,728.24	Professional		$387.70	$4,998.12	$6,728.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $3,493.27 / $7,988.98	Professional		$314.02	$3,493.27	$7,988.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.80 / $3,493.27 / $10,118.02	Facility		$314.80	$3,493.27	$10,118.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.71 / $944.51 / $8,891.44	Professional		$357.71	$944.51	$8,891.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,237.43 / $5,759.79 / $8,977.68	Professional		$4,237.43	$5,759.79	$8,977.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,281.34 / $3,644.25 / $5,222.02	Professional		$3,281.34	$3,644.25	$5,222.02