Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,682.00 / $12,941.00	Facility		$975.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,028.38 / $2,280.61 / $3,359.94	Professional		$2,028.38	$2,280.61	$3,359.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,608.07 / $2,608.07 / $2,608.07	Professional		$2,608.07	$2,608.07	$2,608.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.69 / $3,610.60 / $8,585.00	Facility		$2,202.69	$3,610.60	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,009.01 / $2,542.92 / $3,542.86	Professional		$2,009.01	$2,542.92	$3,542.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,880.33 / $1,880.33 / $1,894.73	Facility		$1,880.33	$1,880.33	$1,894.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.33 / $2,850.86 / $4,493.43	Professional		$1,987.33	$2,850.86	$4,493.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,716.40	Facility		$55.00	$55.00	$19,716.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,614.48 / $16,089.92 / $18,163.13	Professional		$15,614.48	$16,089.92	$18,163.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.14 / $2,533.96 / $4,657.71	Facility		$1,995.14	$2,533.96	$4,657.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,416.78 / $3,215.37 / $3,782.79	Professional		$2,416.78	$3,215.37	$3,782.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,611.40 / $5,635.60	Professional		$7.00	$2,611.40	$5,635.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,003.80 / $2,552.94 / $4,931.60	Facility		$2,003.80	$2,552.94	$4,931.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,072.15 / $2,992.98 / $5,367.97	Professional		$2,072.15	$2,992.98	$5,367.97
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,801.02 / $2,363.83 / $3,701.31	Professional		$1,801.02	$2,363.83	$3,701.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,793.61 / $2,096.56 / $2,838.20	Professional		$1,793.61	$2,096.56	$2,838.20