Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $2,496.00 / $7,497.00	Facility		$455.84	$2,496.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $405.82 / $670.29	Professional		$297.20	$405.82	$670.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $442.47 / $442.47	Professional		$330.13	$442.47	$442.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.19 / $2,192.13 / $4,852.91	Facility		$1,240.19	$2,192.13	$4,852.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.62 / $427.28 / $626.39	Professional		$306.62	$427.28	$626.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $2,155.83 / $2,155.83	Facility		$321.43	$2,155.83	$2,155.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.58 / $531.61 / $850.54	Professional		$366.58	$531.61	$850.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,925.20	Facility		$55.00	$55.00	$1,925.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.02 / $169.56 / $169.56	Facility	AS	$155.02	$169.56	$169.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.84 / $3,367.84 / $4,039.35	Professional		$2,415.84	$3,367.84	$4,039.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $483.74 / $790.52	Facility		$335.26	$483.74	$790.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $430.60 / $598.38 / $828.52	Professional		$430.60	$598.38	$828.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $508.84 / $829.25	Professional		$368.16	$508.84	$829.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $484.04 / $854.19	Facility		$335.26	$484.04	$854.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.84 / $155.84 / $155.84	Facility	AS	$155.84	$155.84	$155.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.61 / $548.29 / $926.30	Professional		$372.61	$548.29	$926.30
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $492.45 / $789.37	Professional		$373.25	$492.45	$789.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.84 / $442.47 / $620.66	Professional		$392.84	$442.47	$620.66