Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,778.28	Professional		$851.14	$1,071.52	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $9,772.37	Facility		$2,884.03	$5,011.87	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,445.44	Professional		$851.14	$1,071.52	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $870.96	Facility		$831.76	$831.76	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,737.80	Professional		$870.96	$1,174.90	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $7,943.28	Professional		$6,918.31	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $4,786.30	Facility		$851.14	$1,230.27	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,584.89	Professional		$933.25	$1,148.15	$1,584.89
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 $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,737.80	Facility		$870.96	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,778.28	Professional		$831.76	$1,174.90	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,318.26	Professional		$676.08	$933.25	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Professional		$831.76	$870.96	$870.96