Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.68 / $3,834.00 / $12,480.00	Facility		$983.68	$3,834.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.13 / $896.15 / $1,554.08	Professional		$784.13	$896.15	$1,554.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.06 / $831.06 / $831.06	Professional		$831.06	$831.06	$831.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,997.44 / $7,178.78 / $14,309.06	Facility		$3,997.44	$7,178.78	$14,309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.28 / $1,004.70 / $1,432.66	Professional		$763.28	$1,004.70	$1,432.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $777.18 / $4,870.39 / $4,870.39	Facility		$777.18	$4,870.39	$4,870.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.76 / $1,176.40 / $1,818.48	Professional		$886.76	$1,176.40	$1,818.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,712.32 / $7,712.32 / $7,712.32	Professional		$7,712.32	$7,712.32	$7,712.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $845.28 / $1,120.86 / $2,124.25	Facility		$845.28	$1,120.86	$2,124.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.38 / $1,317.42 / $1,549.91	Professional		$1,119.38	$1,317.42	$1,549.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.80 / $1,082.80 / $1,082.80	Professional		$1,082.80	$1,082.80	$1,082.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $845.28 / $1,131.52 / $2,312.58	Facility		$845.28	$1,131.52	$2,312.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $897.55 / $1,196.95 / $1,918.95	Professional		$897.55	$1,196.95	$1,918.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.77 / $987.89 / $1,520.82	Professional		$726.77	$987.89	$1,520.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $831.06 / $1,163.98	Professional		$734.89	$831.06	$1,163.98