Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.36 / $3,982.00 / $12,941.00	Facility		$1,088.36	$3,982.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $936.70 / $1,589.02	Professional		$813.63	$936.70	$1,589.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $795.50 / $795.50 / $795.50	Professional		$795.50	$795.50	$795.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.83 / $1,511.00 / $6,055.00	Facility		$906.83	$1,511.00	$6,055.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.18 / $1,092.44 / $1,522.01	Professional		$857.18	$1,092.44	$1,522.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $797.56 / $797.56 / $797.56	Facility		$797.56	$797.56	$797.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.92 / $1,278.06 / $1,957.98	Professional		$929.92	$1,278.06	$1,957.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,018.44	Facility		$55.00	$55.00	$8,018.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,630.32 / $6,836.88 / $7,766.48	Professional		$6,630.32	$6,836.88	$7,766.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $892.94 / $1,198.61 / $2,000.22	Facility		$892.94	$1,198.61	$2,000.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.22 / $1,371.37 / $1,613.38	Professional		$1,165.22	$1,371.37	$1,613.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.40 / $1,229.40 / $1,229.40	Professional		$1,229.40	$1,229.40	$1,229.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.50 / $1,198.61 / $2,047.40	Facility		$893.50	$1,198.61	$2,047.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.04 / $1,296.58 / $2,050.19	Professional		$930.04	$1,296.58	$2,050.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.22 / $1,026.64 / $1,651.60	Professional		$777.22	$1,026.64	$1,651.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $764.98 / $874.17 / $1,206.23	Professional		$764.98	$874.17	$1,206.23