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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.76 / $1,485.56 / $2,284.84	Professional		$1,264.76	$1,485.56	$2,284.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,949.85 / $1,949.85 / $1,949.85	Professional		$1,949.85	$1,949.85	$1,949.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,422.42 / $1,812.81 / $2,525.65	Professional		$1,422.42	$1,812.81	$2,525.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,469.99 / $1,469.99 / $1,469.99	Facility		$1,469.99	$1,469.99	$1,469.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.71 / $2,134.94 / $3,111.58	Professional		$1,612.71	$2,134.94	$3,111.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,864.28	Facility		$55.00	$55.00	$20,864.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,724.26 / $12,111.16 / $13,868.03	Professional		$11,724.26	$12,111.16	$13,868.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,920.31 / $3,443.47	Facility		$1,453.45	$1,920.31	$3,443.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.72 / $2,334.94 / $2,747.00	Professional		$1,678.72	$2,334.94	$2,747.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.40 / $1,959.40 / $1,959.40	Professional		$1,959.40	$1,959.40	$1,959.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,953.28 / $3,589.89	Facility		$1,453.45	$1,953.28	$3,589.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,615.65 / $2,141.35 / $3,170.93	Professional		$1,615.65	$2,141.35	$3,170.93
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 $1,278.44 / $1,757.86 / $2,716.69	Professional		$1,278.44	$1,757.86	$2,716.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,302.49 / $1,477.16 / $2,028.40	Professional		$1,302.49	$1,477.16	$2,028.40