Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $14,454.40	Facility		$1,230.27	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,949.84	Professional		$1,071.52	$1,318.26	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $5,370.32	Facility		$1,288.25	$2,187.76	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,772.37	Facility		$54.95	$56.23	$9,772.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $10,471.29	Professional		$8,912.51	$10,471.29	$10,471.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $6,760.83	Facility		$1,096.48	$1,862.09	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,949.84	Professional		$1,096.48	$1,479.11	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,454.71 / $3,090.30	Professional		$6.03	$2,454.71	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,754.23	Facility		$1,096.48	$1,621.81	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,630.27	Professional		$1,148.15	$1,659.59	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,187.76	Professional		$1,047.13	$1,380.38	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,148.15	Professional		$1,047.13	$1,148.15	$1,148.15