Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,380.27 / $2,729.80 / $4,146.42	Professional		$2,380.27	$2,729.80	$4,146.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,702.50 / $2,702.50 / $2,702.50	Professional		$2,702.50	$2,702.50	$2,702.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,656.01 / $3,362.72 / $4,683.82	Professional		$2,656.01	$3,362.72	$4,683.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,753.78 / $2,753.78 / $2,753.78	Facility		$2,753.78	$2,753.78	$2,753.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,982.92 / $3,851.30 / $5,666.90	Professional		$2,982.92	$3,851.30	$5,666.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,329.80	Facility		$55.00	$55.00	$38,329.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,885.80 / $20,242.96 / $25,349.70	Professional		$19,885.80	$20,242.96	$25,349.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,564.21 / $3,317.14 / $6,381.18	Facility		$2,564.21	$3,317.14	$6,381.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,076.35 / $4,278.92 / $5,034.02	Professional		$3,076.35	$4,278.92	$5,034.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,117.50 / $3,117.50 / $3,117.50	Professional		$3,117.50	$3,117.50	$3,117.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,568.50 / $3,363.66 / $6,531.68	Facility		$2,568.50	$3,363.66	$6,531.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,015.58 / $3,863.95 / $5,845.83	Professional		$3,015.58	$3,863.95	$5,845.83
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 $2,237.02 / $3,160.49 / $5,057.89	Professional		$2,237.02	$3,160.49	$5,057.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,386.88 / $2,702.50 / $3,722.95	Professional		$2,386.88	$2,702.50	$3,722.95