Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.53 / $2,496.00 / $6,940.00	Facility		$533.53	$2,496.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $505.77 / $808.00	Professional		$306.16	$505.77	$808.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $328.96 / $406.06	Professional		$315.25	$328.96	$406.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,221.60 / $2,182.42 / $4,653.10	Facility		$1,221.60	$2,182.42	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.26 / $512.79 / $753.20	Professional		$311.26	$512.79	$753.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.89 / $1,469.84 / $1,469.84	Facility		$311.89	$1,469.84	$1,469.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $569.77 / $569.77	Facility		$569.77	$569.77	$569.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.76 / $566.51 / $925.71	Professional		$362.76	$566.51	$925.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.64 / $11,500.00 / $16,394.00	Facility		$1,587.64	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.88 / $3,944.88 / $4,672.43	Professional		$2,460.88	$3,944.88	$4,672.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.88 / $562.10 / $913.04	Facility		$333.88	$562.10	$913.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $627.94 / $963.59	Professional		$434.38	$627.94	$963.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.42 / $657.68 / $1,273.32	Professional		$372.42	$657.68	$1,273.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $563.29 / $934.07	Facility		$335.22	$563.29	$934.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.17 / $601.50 / $1,025.34	Professional		$367.17	$601.50	$1,025.34
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 $425.86 / $570.91 / $923.77	Professional		$425.86	$570.91	$923.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $512.66 / $724.25	Professional		$456.89	$512.66	$724.25