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 $1,096.48 / $1,318.26 / $2,089.30	Professional		$1,096.48	$1,318.26	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,548.13 / $25,118.86	Facility		$891.25	$3,548.13	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,949.84	Professional		$1,096.48	$1,412.54	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Facility		$1,174.90	$1,174.90	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,089.30 / $2,511.89	Facility		$891.25	$2,089.30	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,511.89	Professional		$912.01	$1,513.56	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,818.38	Facility		$1,096.48	$1,479.11	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,187.76	Professional		$1,096.48	$1,348.96	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,187.76 / $3,162.28	Professional		$954.99	$2,187.76	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,511.89	Facility		$1,096.48	$1,445.44	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,754.23	Professional		$794.33	$1,513.56	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,949.84	Professional		$954.99	$1,288.25	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,479.11	Professional		$891.25	$1,288.25	$1,479.11