Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $748.90 / $1,184.75	Professional		$629.89	$748.90	$1,184.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $235.32 / $707.73	Professional		$235.32	$235.32	$707.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,042.01 / $8,793.46 / $15,732.53	Facility		$3,042.01	$8,793.46	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.35 / $839.89 / $1,178.07	Professional		$678.35	$839.89	$1,178.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $673.03 / $684.51	Facility		$80.00	$673.03	$684.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.32 / $840.32 / $840.32	Facility		$840.32	$840.32	$840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.59 / $980.33 / $1,508.94	Professional		$728.59	$980.33	$1,508.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.88 / $19,913.50 / $26,542.00	Facility		$2,775.88	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,359.28 / $5,464.88 / $6,388.88	Professional		$5,359.28	$5,464.88	$6,388.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $714.51 / $920.05 / $1,391.22	Facility		$714.51	$920.05	$1,391.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $913.39 / $1,096.07 / $1,359.12	Professional		$913.39	$1,096.07	$1,359.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $736.66 / $1,215.25 / $2,667.51	Professional		$736.66	$1,215.25	$2,667.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $714.51 / $924.53 / $1,474.45	Facility		$714.51	$924.53	$1,474.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.39 / $1,016.55 / $1,535.60	Professional		$750.39	$1,016.55	$1,535.60
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 $574.37 / $792.85 / $1,235.27	Professional		$574.37	$792.85	$1,235.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $623.64 / $707.73 / $983.37	Professional		$623.64	$707.73	$983.37