Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,213.00 / $10,639.00	Facility		$748.00	$3,213.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $522.98 / $848.98	Professional		$441.14	$522.98	$848.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.19 / $500.19 / $510.68	Professional		$500.19	$500.19	$510.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.77 / $2,168.62 / $4,663.00	Facility		$1,263.77	$2,168.62	$4,663.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $607.85 / $830.86	Professional		$478.42	$607.85	$830.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $473.74 / $1,882.17 / $1,882.17	Facility		$473.74	$1,882.17	$1,882.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $595.16	Facility		$595.16	$595.16	$595.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.83 / $688.19 / $1,066.00	Professional		$504.83	$688.19	$1,066.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,962.08 / $11,500.00 / $26,542.00	Facility		$1,962.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,513.13 / $5,205.68 / $5,377.47	Professional		$4,513.13	$5,205.68	$5,377.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.19 / $645.07 / $1,014.07	Facility		$500.19	$645.07	$1,014.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $646.92 / $776.31 / $962.62	Professional		$646.92	$776.31	$962.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.49 / $1,659.00 / $3,419.00	Facility		$1,011.49	$1,659.00	$3,419.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.08 / $573.20 / $911.40	Professional		$480.08	$573.20	$911.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.62 / $650.25 / $1,059.08	Facility		$502.62	$650.25	$1,059.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.79 / $704.96 / $1,082.81	Professional		$525.79	$704.96	$1,082.81
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 $402.93 / $550.01 / $870.79	Professional		$402.93	$550.01	$870.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.70 / $500.19 / $697.72	Professional		$441.70	$500.19	$697.72