Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $12,882.50	Facility		$1,122.02	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $8,317.64	Professional		$4,466.84	$5,370.32	$8,317.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $51,286.14	Facility		$4,897.79	$8,709.64	$51,286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $7,585.78	Professional		$4,365.16	$5,248.07	$7,585.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,786.30	Facility		$4,365.16	$4,365.16	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $8,317.64	Facility		$891.25	$2,511.89	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,165.95 / $10,232.93	Professional		$2,187.76	$6,165.95	$10,232.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $43,651.58	Facility		$54.95	$56.23	$43,651.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,673.69 / $42,657.95 / $42,657.95	Professional		$34,673.69	$42,657.95	$42,657.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,754.40 / $10,471.29	Facility		$3,548.13	$5,754.40	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $7,943.28	Professional		$4,466.84	$5,248.07	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,073.80	Professional		$32.36	$33.11	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $11,481.54	Professional		$4,265.80	$8,511.38	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,888.44 / $10,471.29	Facility		$4,365.16	$5,888.44	$10,471.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,165.95 / $11,220.18	Professional		$1,819.70	$6,165.95	$11,220.18
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 $3,981.07 / $5,370.32 / $8,128.31	Professional		$3,981.07	$5,370.32	$8,128.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $5,495.41	Professional		$3,801.89	$4,786.30	$5,495.41