Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,219.00 / $11,453.00	Facility		$732.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $459.51 / $738.56	Professional		$379.48	$459.51	$738.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.55 / $233.55 / $233.55	Professional		$233.55	$233.55	$233.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,243.05 / $8,384.57	Facility		$2,354.21	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $514.76 / $722.02	Professional		$415.75	$514.76	$722.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $414.26 / $418.20	Facility		$80.00	$414.26	$418.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.55 / $607.21 / $932.54	Professional		$455.55	$607.21	$932.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,705.48 / $11,500.00 / $26,542.00	Facility		$1,705.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.31 / $4,139.31 / $4,139.31	Professional		$4,139.31	$4,139.31	$4,139.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.46 / $595.27 / $939.53	Facility		$443.46	$595.27	$939.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.42 / $674.91 / $836.89	Professional		$562.42	$674.91	$836.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.60 / $480.65 / $703.80	Professional		$373.60	$480.65	$703.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.55 / $597.13 / $972.00	Facility		$443.55	$597.13	$972.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $629.44 / $942.84	Professional		$465.30	$629.44	$942.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.20 / $488.15 / $776.77	Professional		$353.20	$488.15	$776.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $434.85 / $606.69	Professional		$384.01	$434.85	$606.69