Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,553.00 / $12,040.00	Facility		$895.00	$3,553.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.08 / $612.52 / $992.18	Professional		$515.08	$612.52	$992.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.64 / $637.27 / $1,129.71	Professional		$591.64	$637.27	$1,129.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,408.96 / $4,325.17 / $8,294.46	Facility		$2,408.96	$4,325.17	$8,294.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.15 / $687.36 / $964.11	Professional		$555.15	$687.36	$964.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $546.80 / $552.79	Facility		$80.00	$546.80	$552.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.80 / $800.14 / $1,262.03	Professional		$600.80	$800.14	$1,262.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.80 / $11,500.00 / $26,542.00	Facility		$2,271.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,307.00 / $6,307.00 / $6,307.00	Professional		$6,307.00	$6,307.00	$6,307.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $747.34 / $1,206.00	Facility		$580.00	$747.34	$1,206.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.70 / $898.59 / $1,114.25	Professional		$702.70	$898.59	$1,114.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $596.58 / $1,063.15 / $2,277.66	Professional		$596.58	$1,063.15	$2,277.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.37 / $754.52 / $1,235.08	Facility		$582.37	$754.52	$1,235.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $827.06 / $1,265.97	Professional		$615.49	$827.06	$1,265.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.56 / $642.50 / $1,016.74	Professional		$472.56	$642.50	$1,016.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $579.34 / $807.45	Professional		$511.28	$579.34	$807.45