Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,224.00 / $10,639.00	Facility		$895.00	$3,224.00	$10,639.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,097.00 / $2,097.00 / $2,097.00	Facility	50	$2,097.00	$2,097.00	$2,097.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,111.39 / $1,664.56	Professional		$765.90	$1,111.39	$1,664.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $1,241.33	Professional	50	$1,241.33	$1,241.33	$1,241.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,006.04 / $1,012.54 / $1,836.90	Professional		$1,006.04	$1,012.54	$1,836.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,470.38 / $4,846.93 / $9,318.64	Facility		$2,470.38	$4,846.93	$9,318.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $1,168.81 / $1,639.42	Professional		$944.00	$1,168.81	$1,639.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $886.66 / $2,909.32 / $2,909.32	Facility		$886.66	$2,909.32	$2,909.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.84 / $1,232.25 / $1,731.66	Professional		$952.84	$1,232.25	$1,731.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,410.64 / $7,723.36 / $8,466.23	Professional		$7,410.64	$7,723.36	$8,466.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $944.02 / $1,188.15 / $1,837.16	Facility		$944.02	$1,188.15	$1,837.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $987.41 / $1,283.80 / $1,777.57	Professional		$987.41	$1,283.80	$1,777.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $949.47 / $1,041.70 / $1,143.41	Professional		$949.47	$1,041.70	$1,143.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.02 / $1,193.08 / $1,961.78	Facility		$944.02	$1,193.08	$1,961.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.84 / $1,267.49 / $1,893.69	Professional		$952.84	$1,267.49	$1,893.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,405.00 / $10,600.00	Facility		$1,634.00	$4,405.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.65 / $999.02 / $1,497.59	Professional		$749.65	$999.02	$1,497.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $842.84 / $952.84 / $1,339.47	Professional		$842.84	$952.84	$1,339.47