Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $12,022.64	Facility		$1,202.26	$4,265.80	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,412.54	Professional		$616.60	$794.33	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $14,791.08	Facility		$4,365.16	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,258.93	Professional		$724.44	$912.01	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,621.81	Professional		$707.95	$1,000.00	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $16,218.10	Facility		$2,818.38	$10,232.93	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,918.31 / $6,918.31	Professional		$5,495.41	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $7,079.46	Facility		$741.31	$1,348.96	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,737.80	Professional		$630.96	$954.99	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,513.56 / $1,995.26	Professional		$6.03	$1,513.56	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,698.24	Facility		$691.83	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Professional		$691.83	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,348.96	Professional		$645.65	$870.96	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $758.58	Professional		$691.83	$758.58	$758.58