Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,288.25	Professional		$660.69	$794.33	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $7,943.28	Facility		$2,238.72	$4,265.80	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,174.90	Professional		$676.08	$870.96	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $676.08	Facility		$79.43	$660.69	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,548.82	Professional		$724.44	$1,000.00	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,890.45	Facility		$691.83	$1,000.00	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,230.27	Professional		$660.69	$933.25	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $645.65	Professional		$32.36	$95.50	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,412.54	Professional		$812.83	$812.83	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,659.59	Facility		$691.83	$954.99	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,548.82	Professional		$691.83	$1,000.00	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,230.27	Professional		$602.56	$794.33	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Professional		$660.69	$707.95	$707.95