Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,700.00 / $3,900.00	Facility		$695.00	$1,700.00	$3,900.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $775.00 / $775.00	Facility		$775.00	$775.00	$775.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,232.00 / $1,232.00	Facility		$1,232.00	$1,232.00	$1,232.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $900.00 / $1,980.00	Facility		$800.00	$900.00	$1,980.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $981.00 / $1,412.00	Facility		$825.00	$981.00	$1,412.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,738.00 / $8,000.00 / $8,000.00	Facility		$7,738.00	$8,000.00	$8,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $850.00	Facility		$850.00	$850.00	$850.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $5,900.00 / $5,900.00	Facility		$872.00	$5,900.00	$5,900.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $975.00 / $1,304.00	Facility		$780.00	$975.00	$1,304.00
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $940.00 / $1,985.00	Facility		$478.00	$940.00	$1,985.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $1,025.00 / $1,050.00	Facility		$1,025.00	$1,025.00	$1,050.00