Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,905.46	Professional		$1,000.00	$1,202.26	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,715.19 / $20,417.38	Facility		$5,623.41	$10,715.19	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,819.70	Professional		$1,047.13	$1,318.26	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,398.83	Professional		$1,122.02	$1,548.82	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,772.37 / $9,772.37	Professional		$8,317.64	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $6,025.60	Facility		$1,000.00	$1,698.24	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,862.09	Professional		$1,047.13	$1,380.38	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,238.72 / $2,884.03	Professional		$6.03	$2,238.72	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,630.27	Facility		$1,023.29	$1,479.11	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,398.83	Professional		$1,071.52	$1,548.82	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,995.26	Professional		$954.99	$1,288.25	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,047.13	Professional		$977.24	$1,047.13	$1,047.13