Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.12 / $2,128.00 / $7,513.00	Facility		$428.12	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $354.44 / $584.74	Professional		$308.20	$354.44	$584.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $221.74 / $221.74	Professional		$221.74	$221.74	$221.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.40 / $2,155.07 / $4,283.03	Facility		$1,233.40	$2,155.07	$4,283.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.88 / $398.56 / $567.38	Professional		$314.88	$398.56	$567.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $334.84 / $336.70	Facility		$80.00	$334.84	$336.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.91 / $580.91 / $580.91	Facility		$580.91	$580.91	$580.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.28 / $451.92 / $694.61	Professional		$344.28	$451.92	$694.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,393.94 / $11,500.00 / $12,000.00	Facility		$2,393.94	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.44 / $2,749.68 / $3,219.15	Professional		$2,507.44	$2,749.68	$3,219.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.95 / $412.55 / $649.89	Facility		$318.95	$412.55	$649.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $522.62 / $662.58	Professional		$431.78	$522.62	$662.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $650.88 / $1,355.68	Professional		$419.05	$650.88	$1,355.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $416.48 / $666.66	Facility		$319.37	$416.48	$666.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $473.40 / $721.81	Professional		$353.67	$473.40	$721.81
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 $277.70 / $375.39 / $583.92	Professional		$277.70	$375.39	$583.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $354.39 / $496.60	Professional		$314.16	$354.39	$496.60