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 $2,238.72 / $2,884.03 / $4,466.84	Professional		$2,238.72	$2,884.03	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $28,183.83	Facility		$2,754.23	$4,677.35	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,548.13	Professional		$2,041.74	$2,691.53	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,454.71 / $2,570.40	Facility		$79.43	$2,454.71	$2,570.40
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 $2,570.40 / $3,630.78 / $5,495.41	Professional		$2,570.40	$3,630.78	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $32,359.37	Facility		$5,011.87	$5,011.87	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $23,442.29 / $23,442.29	Professional		$18,197.01	$23,442.29	$23,442.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,025.60	Facility		$2,238.72	$3,235.94	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $4,570.88	Professional		$2,238.72	$3,311.31	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,238.72	Professional		$32.36	$33.11	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,912.51 / $9,332.54	Professional		$2,951.21	$8,912.51	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $5,754.40	Facility		$2,454.71	$3,311.31	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $5,495.41	Professional		$2,454.71	$3,548.13	$5,495.41
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 $2,089.30 / $2,818.38 / $4,265.80	Professional		$2,089.30	$2,818.38	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $2,754.23	Professional		$2,398.83	$2,754.23	$2,754.23