Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,128.00 / $7,513.00	Facility		$461.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.61 / $404.57 / $660.75	Professional		$351.61	$404.57	$660.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $251.02 / $251.02	Professional		$251.02	$251.02	$251.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.45 / $2,141.52 / $4,277.00	Facility		$1,093.45	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $452.83 / $647.63	Professional		$359.52	$452.83	$647.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $367.25 / $369.24	Facility		$80.00	$367.25	$369.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $656.57 / $656.57	Facility		$656.57	$656.57	$656.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $501.49 / $776.54	Professional		$387.62	$501.49	$776.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,710.44 / $11,500.00 / $12,000.00	Facility		$2,710.44	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.28 / $3,130.64 / $3,658.95	Professional		$2,839.28	$3,130.64	$3,658.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.45 / $459.30 / $723.45	Facility		$357.45	$459.30	$723.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.97 / $585.98 / $747.13	Professional		$490.97	$585.98	$747.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $470.63 / $743.68 / $1,510.40	Professional		$470.63	$743.68	$1,510.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.09 / $463.19 / $748.74	Facility		$358.09	$463.19	$748.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.87 / $534.34 / $819.39	Professional		$399.87	$534.34	$819.39
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.06 / $428.20 / $655.77	Professional		$315.06	$428.20	$655.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $402.76 / $564.87	Professional		$357.23	$402.76	$564.87