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 $1,216.17 / $1,368.41 / $2,004.63	Professional		$1,216.17	$1,368.41	$2,004.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,589.89 / $1,589.89 / $1,589.89	Professional		$1,589.89	$1,589.89	$1,589.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,344.48 / $2,287.00 / $5,738.29	Facility		$1,344.48	$2,287.00	$5,738.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.38 / $1,550.22 / $2,159.80	Professional		$1,216.38	$1,550.22	$2,159.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,223.78 / $1,223.78 / $1,268.26	Facility		$1,223.78	$1,223.78	$1,268.26
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 $1,261.44 / $1,734.97 / $2,715.42	Professional		$1,261.44	$1,734.97	$2,715.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,997.52	Facility		$55.00	$55.00	$11,997.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,392.32 / $9,613.04 / $11,483.03	Professional		$9,392.32	$9,613.04	$11,483.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.44 / $1,519.01 / $2,709.18	Facility		$1,254.44	$1,519.01	$2,709.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.52 / $1,987.03 / $2,337.67	Professional		$1,493.52	$1,987.03	$2,337.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,489.50 / $3,365.30	Professional		$7.00	$1,489.50	$3,365.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,263.66 / $1,533.80 / $3,021.83	Facility		$1,263.66	$1,533.80	$3,021.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,285.06 / $1,840.58 / $3,316.68	Professional		$1,285.06	$1,840.58	$3,316.68
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 $1,054.34 / $1,462.18 / $2,266.25	Professional		$1,054.34	$1,462.18	$2,266.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,108.41 / $1,288.09 / $1,738.07	Professional		$1,108.41	$1,288.09	$1,738.07