Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $4,185.00 / $12,413.00	Facility		$1,267.00	$4,185.00	$12,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.22 / $1,122.21 / $1,754.10	Professional		$989.22	$1,122.21	$1,754.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $967.41 / $967.41 / $967.41	Professional		$967.41	$967.41	$967.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,562.23 / $12,956.19 / $25,071.07	Facility		$6,562.23	$12,956.19	$25,071.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.69 / $1,224.27 / $1,821.64	Professional		$913.69	$1,224.27	$1,821.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $164.44 / $164.44 / $967.94	Facility		$164.44	$164.44	$967.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.27 / $1,549.92 / $2,345.75	Professional		$1,125.27	$1,549.92	$2,345.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,650.00 / $27,770.10	Facility		$5,897.00	$12,650.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,000.00 / $9,000.00 / $9,426.45	Professional		$9,000.00	$9,000.00	$9,426.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.28 / $1,448.62 / $2,431.13	Facility		$1,084.28	$1,448.62	$2,431.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,665.34 / $1,959.23	Professional		$1,415.00	$1,665.34	$1,959.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.13 / $1,275.71 / $1,488.33	Professional		$1,156.13	$1,275.71	$1,488.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.28 / $1,480.87 / $2,879.78	Facility		$1,084.28	$1,480.87	$2,879.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.27 / $1,577.69 / $2,471.81	Professional		$1,125.27	$1,577.69	$2,471.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.10 / $1,261.44 / $2,006.22	Professional		$944.10	$1,261.44	$2,006.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $928.97 / $1,063.08 / $1,464.14	Professional		$928.97	$1,063.08	$1,464.14