Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Facility		$1,230.27	$1,230.27	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,344.23	Professional		$1,071.52	$1,380.38	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,884.03 / $2,884.03	Facility		$79.43	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $22,908.68 / $22,908.68	Professional		$14,791.08	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $3,548.13	Facility		$1,202.26	$2,238.72	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,884.03	Professional		$1,071.52	$1,380.38	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Professional		$1,659.59	$1,659.59	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,548.13	Facility		$1,202.26	$2,137.96	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $2,691.53	Facility		$870.96	$1,621.81	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,778.28	Professional		$954.99	$1,445.44	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03