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 $2,754.23 / $3,235.94 / $4,897.79	Professional		$2,754.23	$3,235.94	$4,897.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,677.35	Professional		$2,754.23	$3,467.37	$4,677.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,019.95	Facility		$2,754.23	$2,754.23	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $5,128.61	Facility		$891.25	$2,511.89	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,715.35 / $6,165.95	Professional		$1,659.59	$3,715.35	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $26,302.68 / $26,302.68	Professional		$21,379.62	$26,302.68	$26,302.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $6,456.54	Facility		$2,089.30	$3,467.37	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $4,897.79	Professional		$2,754.23	$3,235.94	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,754.40 / $7,585.78	Professional		$1,659.59	$5,754.40	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $6,165.95	Facility		$2,089.30	$3,467.37	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,801.89 / $6,760.83	Professional		$1,548.82	$3,801.89	$6,760.83
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 $2,398.83 / $3,235.94 / $5,011.87	Professional		$2,398.83	$3,235.94	$5,011.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,388.44	Professional		$2,344.23	$2,951.21	$3,388.44