Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.35 / $3,219.00 / $11,453.00	Facility		$792.35	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.66 / $731.31 / $792.35	Professional		$567.66	$731.31	$792.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $748.25 / $748.25 / $809.44	Professional		$748.25	$748.25	$809.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,417.32 / $5,994.78 / $11,760.46	Facility		$3,417.32	$5,994.78	$11,760.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.38 / $557.38 / $557.38	Professional		$557.38	$557.38	$557.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,256.78 / $1,256.78 / $1,256.78	Facility		$1,256.78	$1,256.78	$1,256.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,798.60 / $4,798.60 / $4,955.45	Facility		$4,798.60	$4,798.60	$4,955.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,404.30 / $22,109.65 / $22,109.65	Facility		$4,404.30	$22,109.65	$22,109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,647.68 / $5,808.40 / $6,766.05	Professional		$5,647.68	$5,808.40	$6,766.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.95 / $783.42 / $1,045.77	Facility		$634.95	$783.42	$1,045.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $748.25 / $9,074.00	Professional		$711.43	$748.25	$9,074.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.42 / $1,313.42 / $1,313.42	Professional		$1,313.42	$1,313.42	$1,313.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.54 / $787.88 / $1,418.29	Facility		$643.54	$787.88	$1,418.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.25 / $748.39 / $1,019.25	Professional		$748.25	$748.39	$1,019.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $799.50 / $1,215.74	Professional		$584.91	$799.50	$1,215.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $776.18 / $996.27	Professional		$711.43	$776.18	$996.27