Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.25 / $2,550.00 / $7,495.00	Facility		$706.25	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.41 / $721.93 / $1,256.51	Professional		$600.41	$721.93	$1,256.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $757.97 / $757.97 / $757.97	Professional		$757.97	$757.97	$757.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.15 / $2,563.92 / $5,501.09	Facility		$1,509.15	$2,563.92	$5,501.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.60 / $885.40 / $1,242.52	Professional		$710.60	$885.40	$1,242.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $1,378.23 / $1,378.23	Facility		$723.73	$1,378.23	$1,378.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.55 / $991.81 / $1,428.99	Professional		$800.55	$991.81	$1,428.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,564.75 / $16,394.00 / $16,394.00	Facility		$5,564.75	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,764.80 / $5,874.88 / $6,772.73	Professional		$5,764.80	$5,874.88	$6,772.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.09 / $898.71 / $1,196.17	Facility		$705.09	$898.71	$1,196.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.20 / $1,248.32 / $1,560.90	Professional		$780.20	$1,248.32	$1,560.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.10 / $798.63 / $967.41	Professional		$722.10	$798.63	$967.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.09 / $898.71 / $1,263.53	Facility		$705.09	$898.71	$1,263.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.27 / $1,023.05 / $1,560.32	Professional		$809.27	$1,023.05	$1,560.32
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,063.00 / $4,554.00	Facility		$597.00	$2,063.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.28 / $829.70 / $1,255.88	Professional		$622.28	$829.70	$1,255.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $757.97 / $1,051.04	Professional		$665.88	$757.97	$1,051.04