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 / $12,040.00	Facility		$969.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.77 / $1,046.69 / $1,502.14	Professional		$926.77	$1,046.69	$1,502.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $621.87 / $621.87 / $621.87	Professional		$621.87	$621.87	$621.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,298.90 / $14,597.80	Facility		$4,156.99	$7,298.90	$14,597.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.42 / $1,197.24 / $1,668.02	Professional		$939.42	$1,197.24	$1,668.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $948.77 / $948.77 / $948.77	Facility		$948.77	$948.77	$948.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.58 / $1,370.54 / $2,125.96	Professional		$1,069.58	$1,370.54	$2,125.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $16,223.75	Facility		$5,897.00	$5,897.00	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,262.32 / $7,428.48 / $8,871.75	Professional		$7,262.32	$7,428.48	$8,871.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $987.44 / $1,307.68 / $2,221.04	Facility		$987.44	$1,307.68	$2,221.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.82 / $1,535.68 / $1,806.68	Professional		$1,304.82	$1,535.68	$1,806.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.01 / $1,956.80 / $3,809.13	Professional		$1,704.01	$1,956.80	$3,809.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.44 / $1,319.33 / $2,374.94	Facility		$987.44	$1,319.33	$2,374.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,069.70 / $1,410.57 / $2,209.00	Professional		$1,069.70	$1,410.57	$2,209.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $16,000.00	Facility		$2,608.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $1,135.44 / $1,793.22	Professional		$826.50	$1,135.44	$1,793.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $856.64 / $976.25 / $1,343.64	Professional		$856.64	$976.25	$1,343.64