Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.70 / $2,500.00 / $7,495.00	Facility		$445.70	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $269.47 / $432.63	Professional		$147.99	$269.47	$432.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.52 / $2,196.16 / $4,718.10	Facility		$1,276.52	$2,196.16	$4,718.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $263.80 / $407.50	Professional		$150.37	$263.80	$407.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $153.84 / $1,648.68 / $1,648.68	Facility		$153.84	$1,648.68	$1,648.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $272.08	Facility		$272.08	$272.08	$272.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $294.19 / $493.26	Professional		$173.51	$294.19	$493.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.04 / $11,500.00 / $16,394.00	Facility		$766.04	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.00 / $2,147.19 / $2,545.19	Professional		$1,232.00	$2,147.19	$2,545.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $285.08 / $455.29	Facility		$158.84	$285.08	$455.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $341.86 / $524.59	Professional		$207.73	$341.86	$524.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $299.60 / $536.78	Professional		$204.97	$299.60	$536.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.97 / $290.63 / $481.33	Facility		$158.97	$290.63	$481.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $308.01 / $549.16	Professional		$174.19	$308.01	$549.16
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $309.92 / $472.64	Professional		$228.19	$309.92	$472.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.74 / $278.56 / $394.54	Professional		$248.74	$278.56	$394.54