Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.66 / $1,155.51 / $1,812.82	Professional		$854.66	$1,155.51	$1,812.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,885.93 / $1,885.93 / $1,885.93	Professional		$1,885.93	$1,885.93	$1,885.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,689.27 / $4,846.93 / $9,349.91	Facility		$2,689.27	$4,846.93	$9,349.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.45 / $1,185.46 / $1,623.63	Professional		$957.45	$1,185.46	$1,623.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $894.70 / $894.70 / $934.73	Facility		$894.70	$894.70	$934.73
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 $974.46 / $1,264.26 / $1,753.17	Professional		$974.46	$1,264.26	$1,753.17
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 $7,619.12 / $7,882.64 / $8,669.10	Professional		$7,619.12	$7,882.64	$8,669.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.90 / $1,175.33 / $1,719.52	Facility		$968.90	$1,175.33	$1,719.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $979.90 / $1,520.13 / $5,306.00	Professional		$979.90	$1,520.13	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.10 / $1,014.10 / $1,014.10	Professional		$1,014.10	$1,014.10	$1,014.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.90 / $1,175.88 / $2,000.00	Facility		$968.90	$1,175.88	$2,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $979.90 / $1,297.33 / $1,960.12	Professional		$979.90	$1,297.33	$1,960.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.72 / $1,030.35 / $1,572.53	Professional		$765.72	$1,030.35	$1,572.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.92 / $979.90 / $1,374.29	Professional		$864.92	$979.90	$1,374.29