Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,691.53	Professional		$1,288.25	$1,621.81	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,548.82	Professional		$1,288.25	$1,288.25	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $9,549.93	Facility		$2,691.53	$5,011.87	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,089.30	Professional		$1,258.93	$1,584.89	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,174.90	Facility		$1,122.02	$1,122.02	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Facility		$1,949.84	$1,949.84	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,691.53	Professional		$1,318.26	$1,698.24	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $42,657.95 / $42,657.95	Facility		$10,964.78	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $11,220.18 / $11,220.18	Professional		$10,000.00	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $6,165.95	Facility		$1,148.15	$1,819.70	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,818.38	Professional		$1,258.93	$1,621.81	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $2,630.27	Professional		$1,148.15	$2,041.74	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,630.27	Facility		$1,258.93	$1,584.89	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,691.53	Professional		$1,288.25	$1,698.24	$2,691.53
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 $1,071.52 / $1,412.54 / $2,089.30	Professional		$1,071.52	$1,412.54	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,174.90	Professional		$1,122.02	$1,174.90	$1,174.90