Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,049.40 / $2,296.46 / $3,468.13	Professional		$2,049.40	$2,296.46	$3,468.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,116.41 / $2,116.41 / $2,116.41	Professional		$2,116.41	$2,116.41	$2,116.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,040.24 / $2,600.19 / $3,622.65	Professional		$2,040.24	$2,600.19	$3,622.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,041.24 / $2,041.24 / $2,118.64	Facility		$2,041.24	$2,041.24	$2,118.64
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 $2,116.41 / $2,972.15 / $4,600.91	Professional		$2,116.41	$2,972.15	$4,600.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,077.52	Facility		$55.00	$55.00	$20,077.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,462.88 / $18,462.88 / $19,222.73	Professional		$18,462.88	$18,462.88	$19,222.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,118.71 / $2,645.51 / $4,988.34	Facility		$2,118.71	$2,645.51	$4,988.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,500.11 / $3,326.24 / $3,913.22	Professional		$2,500.11	$3,326.24	$3,913.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.89 / $3,685.88 / $8,010.71	Professional		$2,245.89	$3,685.88	$8,010.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,126.44 / $2,666.00 / $5,105.99	Facility		$2,126.44	$2,666.00	$5,105.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,206.50 / $3,117.29 / $5,576.09	Professional		$2,206.50	$3,117.29	$5,576.09
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 $1,833.87 / $2,470.64 / $3,830.55	Professional		$1,833.87	$2,470.64	$3,830.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,855.45 / $2,156.09 / $2,908.85	Professional		$1,855.45	$2,156.09	$2,908.85