Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,128.00 / $7,542.00	Facility		$488.00	$2,128.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $344.59 / $581.00	Professional		$301.92	$344.59	$581.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.99 / $395.99 / $395.99	Professional		$395.99	$395.99	$395.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $881.88 / $3,210.49	Facility		$500.14	$881.88	$3,210.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.81 / $386.07 / $541.52	Professional		$311.81	$386.07	$541.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $315.02 / $1,549.61 / $1,549.61	Facility		$315.02	$1,549.61	$1,549.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.85 / $448.02 / $702.44	Professional		$345.85	$448.02	$702.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,017.35	Facility		$55.00	$55.00	$4,017.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,463.36 / $2,513.04 / $2,930.10	Professional		$2,463.36	$2,513.04	$2,930.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.05 / $406.02 / $681.93	Facility		$315.05	$406.02	$681.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.29 / $503.15 / $623.90	Professional		$419.29	$503.15	$623.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.90 / $391.90 / $391.90	Professional		$391.90	$391.90	$391.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.33 / $413.57 / $707.08	Facility		$318.33	$413.57	$707.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $463.13 / $709.16	Professional		$348.08	$463.13	$709.16
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.11 / $364.12 / $583.92	Professional		$273.11	$364.12	$583.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $324.58 / $451.72	Professional		$286.27	$324.58	$451.72