Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Professional		$537.03	$630.96	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $7,413.10	Facility		$2,089.30	$3,715.35	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $912.01	Professional		$537.03	$676.08	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,630.78 / $3,630.78	Facility		$575.44	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $1,995.26	Facility		$1,000.00	$1,862.09	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,174.90	Professional		$478.63	$724.44	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $5,128.61	Professional		$4,168.69	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $2,187.76	Facility		$549.54	$758.58	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,071.52	Professional		$524.81	$630.96	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $2,041.74	Professional		$691.83	$1,096.48	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,258.93	Facility		$537.03	$724.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $1,348.96	Professional		$457.09	$741.31	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,511.38	Facility		$1,380.38	$3,981.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $912.01	Professional		$446.68	$588.84	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $707.95	Professional		$446.68	$616.60	$707.95