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 $1,202.26 / $1,548.82 / $2,454.71	Professional		$1,202.26	$1,548.82	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,412.54 / $1,862.09	Professional		$549.54	$1,412.54	$1,862.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,412.54	Facility		$79.43	$1,348.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,019.95	Professional		$1,380.38	$1,949.84	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $17,782.79	Facility		$5,011.87	$5,011.87	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,882.50 / $12,882.50	Professional		$10,232.93	$12,882.50	$12,882.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,715.35	Facility		$1,288.25	$1,819.70	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,511.89	Professional		$1,202.26	$1,778.28	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $5,128.61	Professional		$1,659.59	$4,897.79	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,235.94	Facility		$1,348.96	$1,778.28	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,951.21	Professional		$1,318.26	$1,905.46	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,290.87	Professional		$1,122.02	$1,479.11	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,513.56	Professional		$1,348.96	$1,513.56	$1,513.56