Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,131.00 / $6,762.00	Facility		$521.00	$2,131.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $981.50 / $1,553.25 / $9,688.79	Facility	50	$981.50	$1,553.25	$9,688.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $493.37 / $896.02	Professional		$418.70	$493.37	$896.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.66 / $341.75 / $481.68	Professional		$264.66	$341.75	$481.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.12 / $4,574.62 / $9,058.35	Facility		$2,575.12	$4,574.62	$9,058.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.07 / $647.52 / $882.36	Professional		$508.07	$647.52	$882.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $499.87 / $499.87 / $499.87	Facility		$499.87	$499.87	$499.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.10 / $686.72 / $1,046.40	Professional		$527.10	$686.72	$1,046.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $12,000.00 / $12,000.00	Facility		$8,723.79	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.76 / $4,092.08 / $4,767.00	Professional		$4,021.76	$4,092.08	$4,767.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.77 / $615.25 / $1,090.27	Facility		$488.77	$615.25	$1,090.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $710.66 / $836.39 / $983.99	Professional		$710.66	$836.39	$983.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $543.36 / $949.20 / $2,027.30	Professional		$543.36	$949.20	$2,027.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.77 / $626.54 / $1,188.44	Facility		$488.77	$626.54	$1,188.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.32 / $692.32 / $1,126.09	Professional		$529.32	$692.32	$1,126.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $556.23 / $885.31	Professional		$402.85	$556.23	$885.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $529.32 / $736.38	Professional		$466.56	$529.32	$736.38