Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.95 / $1,662.66 / $2,380.31	Professional		$1,468.95	$1,662.66	$2,380.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,198.50 / $2,198.50 / $2,198.50	Professional		$2,198.50	$2,198.50	$2,198.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,518.41 / $2,115.94 / $3,508.27	Professional		$1,518.41	$2,115.94	$3,508.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,426.80 / $1,426.80 / $1,426.80	Facility		$1,426.80	$1,426.80	$1,426.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $2,337.26 / $3,475.45	Professional		$1,652.17	$2,337.26	$3,475.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,886.52	Facility		$55.00	$55.00	$16,886.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,703.08 / $14,703.08 / $14,703.08	Professional		$14,703.08	$14,703.08	$14,703.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,570.36 / $2,062.09 / $3,914.88	Facility		$1,570.36	$2,062.09	$3,914.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.45 / $2,461.14 / $2,895.46	Professional		$1,769.45	$2,461.14	$2,895.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,968.90 / $1,968.90 / $1,968.90	Professional		$1,968.90	$1,968.90	$1,968.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,570.36 / $2,083.19 / $4,262.18	Facility		$1,570.36	$2,083.19	$4,262.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,671.28 / $2,355.54 / $3,603.29	Professional		$1,671.28	$2,355.54	$3,603.29
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.64 / $1,860.46 / $2,959.83	Professional		$1,412.64	$1,860.46	$2,959.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,372.88 / $1,570.36 / $2,164.09	Professional		$1,372.88	$1,570.36	$2,164.09