Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.41 / $3,030.31 / $8,316.17	Facility		$1,778.41	$3,030.31	$8,316.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,550.53 / $2,839.79	Professional		$2,488.32	$2,550.53	$2,839.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $1,880.00 / $1,880.00	Professional		$1,880.00	$1,880.00	$1,880.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,458.13 / $5,924.09 / $12,241.49	Facility		$2,458.13	$5,924.09	$12,241.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,487.73 / $2,487.73 / $2,487.73	Professional		$2,487.73	$2,487.73	$2,487.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,308.00 / $1,308.00 / $1,308.00	Facility		$1,308.00	$1,308.00	$1,308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.88 / $6,940.10 / $11,106.00	Facility		$2,954.88	$6,940.10	$11,106.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,254.08 / $11,254.08 / $13,327.20	Professional		$11,254.08	$11,254.08	$13,327.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,581.63 / $2,961.60 / $5,550.50	Facility		$2,581.63	$2,961.60	$5,550.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $2,517.36 / $3,572.43	Professional		$2,517.36	$2,517.36	$3,572.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.64 / $2,966.77 / $3,115.11	Professional		$1,984.64	$2,966.77	$3,115.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $3,110.40 / $4,225.47	Facility		$2,643.84	$3,110.40	$4,225.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,468.00 / $2,813.52 / $3,798.25	Professional		$2,468.00	$2,813.52	$3,798.25