Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.92 / $2,021.92 / $2,183.67	Facility		$2,021.92	$2,021.92	$2,183.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,993.57 / $2,183.67 / $4,043.83	Professional		$1,993.57	$2,183.67	$4,043.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,751.54 / $3,463.63 / $3,463.63	Professional		$2,751.54	$3,463.63	$3,463.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.82 / $2,197.82 / $2,749.80	Professional		$2,197.82	$2,197.82	$2,749.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,021.91 / $2,021.91 / $4,618.17	Facility		$2,021.91	$2,021.91	$4,618.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,481.10	Professional		$1,811.20	$1,811.20	$2,481.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,755.12 / $20,983.29 / $24,984.00	Facility		$8,755.12	$20,983.29	$24,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,681.22 / $27,321.57 / $29,586.30	Professional		$26,681.22	$27,321.57	$29,586.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $3,218.40 / $4,618.17	Facility		$1,270.53	$3,218.40	$4,618.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.86 / $4,156.35 / $5,194.60	Professional		$1,284.86	$4,156.35	$5,194.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.70 / $1,411.70 / $1,411.70	Professional		$1,411.70	$1,411.70	$1,411.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $3,085.71 / $4,618.17	Facility		$1,270.53	$3,085.71	$4,618.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,909.47	Professional		$1,811.20	$1,811.20	$2,909.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,624.05 / $3,032.69	Facility		$1,516.35	$2,624.05	$3,032.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.03 / $2,426.15 / $3,011.63	Professional		$1,640.03	$2,426.15	$3,011.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,387.06 / $2,859.80 / $4,618.17	Professional		$2,387.06	$2,859.80	$4,618.17