Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $13,813.00	Facility		$921.00	$4,028.00	$13,813.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.58 / $5,117.35 / $7,557.52	Professional		$502.58	$5,117.35	$7,557.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $473.76	Professional		$471.64	$471.64	$473.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,418.35 / $24,388.15 / $49,095.11	Facility		$14,418.35	$24,388.15	$49,095.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $4,412.85 / $6,967.66	Professional		$460.08	$4,412.85	$6,967.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $439.71 / $439.71 / $439.71	Facility		$439.71	$439.71	$439.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,914.09 / $16,914.09 / $16,914.09	Facility		$16,914.09	$16,914.09	$16,914.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.08 / $1,075.72 / $10,499.24	Professional		$579.08	$1,075.72	$10,499.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,944.08	Facility		$55.00	$55.00	$3,944.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,008.32 / $36,843.33 / $42,814.58	Professional		$19,008.32	$36,843.33	$42,814.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.14 / $2,281.25 / $9,091.95	Facility		$507.14	$2,281.25	$9,091.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.98 / $6,376.11 / $8,583.23	Professional		$626.98	$6,376.11	$8,583.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $4,463.77 / $9,978.20	Professional		$504.74	$4,463.77	$9,978.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.14 / $4,463.77 / $12,401.40	Facility		$507.14	$4,463.77	$12,401.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.92 / $1,531.61 / $10,858.30	Professional		$579.92	$1,531.61	$10,858.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,976.00 / $11,000.00 / $27,513.00	Facility		$5,976.00	$11,000.00	$27,513.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,211.47 / $6,945.94 / $11,117.82	Professional		$5,211.47	$6,945.94	$11,117.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,186.01 / $4,652.95 / $6,660.99	Professional		$4,186.01	$4,652.95	$6,660.99