Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,412.54	Professional		$707.95	$891.25	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $5,623.41	Facility		$912.01	$1,548.82	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,412.54	Professional		$812.83	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,862.09	Professional		$812.83	$1,122.02	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,079.46	Facility		$54.95	$56.23	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $7,943.28	Professional		$6,309.57	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $4,073.80	Facility		$794.33	$1,230.27	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,445.44	Professional		$707.95	$1,047.13	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,819.70 / $2,238.72	Professional		$6.03	$1,819.70	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,949.84	Facility		$794.33	$1,122.02	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,819.70	Professional		$812.83	$1,148.15	$1,819.70
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 $724.44 / $977.24 / $1,548.82	Professional		$724.44	$977.24	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $870.96	Professional		$776.25	$870.96	$870.96