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 Facility Modifier 50 Low / Median / High Price $3,548.13 / $5,495.41 / $5,495.41	Facility	50	$3,548.13	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $954.99	Professional		$416.87	$575.44	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $691.83 / $2,570.40	Professional	50	$125.89	$691.83	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $6,165.95	Facility		$1,737.80	$3,162.28	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $794.33	Professional		$407.38	$512.86	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $549.54	Facility		$363.08	$363.08	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $891.25	Professional		$426.58	$588.84	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $6,918.31	Facility		$549.54	$1,819.70	$6,918.31
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $3,548.13 / $5,495.41	Facility	50	$3,548.13	$3,548.13	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $977.24	Professional		$426.58	$588.84	$977.24
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $1,584.89 / $2,570.40	Professional	50	$588.84	$1,584.89	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $338.84 / $524.81	Professional		$32.36	$338.84	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $630.96	Professional		$398.11	$524.81	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $1,023.29	Facility		$436.52	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $912.01	Professional		$426.58	$588.84	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $707.95	Professional		$363.08	$478.63	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $549.54	Professional		$524.81	$549.54	$549.54