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 / $12,302.69	Facility		$1,000.00	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,288.25	Professional		$724.44	$851.14	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $8,709.64	Facility		$2,187.76	$4,786.30	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,230.27	Professional		$707.95	$891.25	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,621.81	Professional		$776.25	$1,047.13	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $4,073.80	Facility		$758.58	$1,122.02	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,479.11 / $1,949.84	Professional		$6.03	$1,479.11	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,819.70	Facility		$741.31	$1,023.29	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,621.81	Professional		$758.58	$1,047.13	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,380.38	Professional		$645.65	$891.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $724.44	Professional		$691.83	$724.44	$724.44