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 $1,097.71 / $1,307.83 / $1,949.55	Professional		$1,097.71	$1,307.83	$1,949.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $384.97 / $384.97	Professional		$384.97	$384.97	$384.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.48 / $1,920.00 / $5,376.66	Facility		$1,143.48	$1,920.00	$5,376.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.95 / $1,481.25 / $2,063.17	Professional		$1,169.95	$1,481.25	$2,063.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,178.60 / $1,178.60 / $1,219.38	Facility		$1,178.60	$1,178.60	$1,219.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.58 / $1,622.05 / $2,560.05	Professional		$1,171.58	$1,622.05	$2,560.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,049.76	Facility		$55.00	$55.00	$10,049.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,991.84 / $9,181.28 / $10,984.80	Professional		$8,991.84	$9,181.28	$10,984.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.61 / $1,441.29 / $2,580.76	Facility		$1,176.61	$1,441.29	$2,580.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.16 / $1,901.41 / $2,236.94	Professional		$1,429.16	$1,901.41	$2,236.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,359.60 / $3,220.20	Professional		$6.00	$1,359.60	$3,220.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.58 / $1,452.06 / $2,870.11	Facility		$1,179.58	$1,452.06	$2,870.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,211.82 / $1,737.00 / $3,158.64	Professional		$1,211.82	$1,737.00	$3,158.64
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 $1,000.13 / $1,346.47 / $2,180.29	Professional		$1,000.13	$1,346.47	$2,180.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,060.65 / $1,232.75 / $1,663.66	Professional		$1,060.65	$1,232.75	$1,663.66