Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,580.00 / $11,232.00	Facility		$1,017.00	$3,580.00	$11,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.72 / $1,443.52 / $1,950.92	Professional		$1,166.72	$1,443.52	$1,950.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $735.34 / $735.34 / $735.34	Professional		$735.34	$735.34	$735.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,025.94 / $7,324.30 / $14,503.08	Facility		$4,025.94	$7,324.30	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.85 / $1,478.34 / $2,360.91	Professional		$1,117.85	$1,478.34	$2,360.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,028.35 / $1,028.35 / $1,028.35	Facility		$1,028.35	$1,028.35	$1,028.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.84 / $1,741.40 / $2,721.18	Professional		$1,286.84	$1,741.40	$2,721.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,287.68 / $26,542.00 / $26,542.00	Facility		$8,287.68	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,776.32 / $10,701.68 / $12,445.95	Professional		$8,776.32	$10,701.68	$12,445.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,237.98 / $1,668.41 / $3,218.82	Facility		$1,237.98	$1,668.41	$3,218.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.74 / $1,945.40 / $2,592.13	Professional		$1,532.74	$1,945.40	$2,592.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.40 / $1,767.40 / $1,767.40	Professional		$1,767.40	$1,767.40	$1,767.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.45 / $1,675.54 / $3,301.03	Facility		$1,239.45	$1,675.54	$3,301.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,316.43 / $1,798.02 / $3,047.86	Professional		$1,316.43	$1,798.02	$3,047.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.50 / $1,664.27 / $2,582.92	Professional		$1,215.50	$1,664.27	$2,582.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,229.06 / $1,394.33 / $1,945.47	Professional		$1,229.06	$1,394.33	$1,945.47