Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.90 / $3,620.00 / $12,480.00	Facility		$890.90	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $589.73 / $943.92	Professional		$516.91	$589.73	$943.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $723.85 / $723.85 / $723.85	Professional		$723.85	$723.85	$723.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,372.81 / $14,745.61	Facility		$4,122.95	$7,372.81	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.76 / $601.50 / $943.61	Professional		$460.76	$601.50	$943.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $527.66 / $532.71	Facility		$80.00	$527.66	$532.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $662.14 / $662.14	Facility		$662.14	$662.14	$662.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.58 / $759.49 / $1,138.61	Professional		$565.58	$759.49	$1,138.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,007.80 / $5,007.80 / $5,016.14	Professional		$5,007.80	$5,007.80	$5,016.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $543.74 / $683.06 / $1,251.25	Facility		$543.74	$683.06	$1,251.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.71 / $863.66 / $1,070.93	Professional		$719.71	$863.66	$1,070.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $648.40 / $648.40	Professional		$648.40	$648.40	$648.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.50 / $686.80 / $1,261.30	Facility		$545.50	$686.80	$1,261.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $582.98 / $777.56 / $1,197.31	Professional		$582.98	$777.56	$1,197.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.10 / $604.14 / $954.54	Professional		$450.10	$604.14	$954.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $556.80 / $776.25	Professional		$491.40	$556.80	$776.25