Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $11,748.98	Facility		$1,000.00	$3,548.13	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $8,511.38	Facility	50	$2,089.30	$2,089.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,238.72	Professional		$831.76	$1,174.90	$2,238.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,479.11 / $4,677.35	Professional	50	$1,230.27	$1,479.11	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,202.26	Professional		$954.99	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $9,549.93	Facility		$2,511.89	$5,011.87	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,548.82	Professional		$933.25	$1,174.90	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,884.03 / $2,884.03	Facility		$891.25	$2,884.03	$2,884.03
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 $954.99 / $1,258.93 / $1,905.46	Professional		$954.99	$1,258.93	$1,905.46
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 $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $4,786.30	Facility		$912.01	$1,348.96	$4,786.30
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $8,511.38	Facility	50	$2,089.30	$2,089.30	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,041.74	Professional		$933.25	$1,258.93	$2,041.74
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,479.11 / $3,311.31	Professional	50	$1,479.11	$1,479.11	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,630.27	Professional		$32.36	$33.11	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,047.13	Professional		$870.96	$1,023.29	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,905.46	Facility		$933.25	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,949.84	Professional		$912.01	$1,258.93	$1,949.84
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 $741.31 / $1,000.00 / $1,445.44	Professional		$741.31	$1,000.00	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Professional		$870.96	$912.01	$912.01