Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.71 / $987.70 / $1,006.70	Facility		$968.71	$987.70	$1,006.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.73 / $1,006.70 / $1,581.93	Professional		$911.73	$1,006.70	$1,581.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,540.13 / $1,540.13 / $1,540.13	Professional		$1,540.13	$1,540.13	$1,540.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.33 / $1,291.60 / $1,291.60	Professional		$1,032.33	$1,291.60	$1,291.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,169.19 / $2,169.19 / $2,169.19	Facility		$2,169.19	$2,169.19	$2,169.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,277.46	Professional		$932.55	$932.55	$1,277.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,215.38 / $10,083.62 / $11,918.65	Facility		$4,215.38	$10,083.62	$11,918.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,143.39 / $12,434.81 / $18,818.93	Professional		$12,143.39	$12,434.81	$18,818.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $1,500.86 / $2,169.19	Facility		$606.11	$1,500.86	$2,169.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $606.11 / $1,903.11 / $2,169.19	Professional		$606.11	$1,903.11	$2,169.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.10 / $1,552.10 / $1,552.10	Professional		$1,552.10	$1,552.10	$1,552.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $1,449.40 / $2,169.19	Facility		$606.11	$1,449.40	$2,169.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,498.02	Professional		$932.55	$932.55	$1,498.02
United Facility/Professional Professional Modifier Low / Median / High Price $782.38 / $1,131.40 / $1,346.91	Professional		$782.38	$1,131.40	$1,346.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,127.45 / $1,136.98 / $2,169.19	Professional		$1,127.45	$1,136.98	$2,169.19