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 $1,949.84 / $2,398.83 / $3,801.89	Professional		$1,949.84	$2,398.83	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,120.11	Facility		$2,454.71	$4,073.80	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,715.35	Professional		$2,137.96	$2,630.27	$3,715.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,786.30	Professional		$2,290.87	$3,090.30	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,902.95	Facility		$54.95	$56.23	$30,902.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $20,892.96 / $20,892.96	Professional		$16,218.10	$20,892.96	$20,892.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $5,370.32	Facility		$1,949.84	$2,951.21	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $3,981.07	Professional		$1,949.84	$2,884.03	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,466.84 / $5,754.40	Professional		$10.96	$4,466.84	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $5,128.61	Facility		$2,187.76	$2,884.03	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $4,677.35	Professional		$2,238.72	$3,090.30	$4,677.35
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 $1,905.46 / $2,570.40 / $4,073.80	Professional		$1,905.46	$2,570.40	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,398.83	Professional		$2,137.96	$2,398.83	$2,398.83