Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $4,108.53 / $14,223.10	Facility		$1,751.76	$4,108.53	$14,223.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $2,189.69 / $3,503.52	Professional		$1,751.76	$2,189.69	$3,503.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $1,459.80 / $1,459.80	Professional		$1,459.80	$1,459.80	$1,459.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $7,106.31 / $15,094.33	Facility		$10.50	$7,106.31	$15,094.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,547.39 / $4,087.44	Professional		$5.00	$1,547.39	$4,087.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Facility		$2,919.60	$2,919.60	$2,919.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,867.06 / $5,275.72 / $12,433.01	Facility		$1,867.06	$5,275.72	$12,433.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.50 / $2,207.21 / $4,506.60	Professional		$1,479.50	$2,207.21	$4,506.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $13,868.10 / $13,868.10	Facility		$4,671.35	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,598.00 / $14,598.00 / $21,897.00	Professional		$14,598.00	$14,598.00	$21,897.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $2,919.60 / $3,503.52	Facility		$1,880.00	$2,919.60	$3,503.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.62 / $2,919.60 / $3,500.00	Professional		$2,773.62	$2,919.60	$3,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $3,503.52 / $6,569.10	Professional		$1,897.74	$3,503.52	$6,569.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $2,919.60 / $5,275.72	Facility		$1,880.00	$2,919.60	$5,275.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,489.02 / $2,788.13 / $4,431.84	Professional		$1,489.02	$2,788.13	$4,431.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,868.54	Professional		$1,226.23	$1,226.23	$1,868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,138.64 / $1,167.83 / $2,919.60	Professional		$1,138.64	$1,167.83	$2,919.60