Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,224.00 / $11,453.00	Facility		$759.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.35 / $579.99 / $959.12	Professional		$478.35	$579.99	$959.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.20 / $707.20 / $707.20	Professional		$707.20	$707.20	$707.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.46 / $4,297.80 / $8,403.96	Facility		$2,297.46	$4,297.80	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.11 / $668.44 / $913.68	Professional		$526.11	$668.44	$913.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $528.11 / $534.87	Facility		$80.00	$528.11	$534.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.83 / $754.31 / $1,153.56	Professional		$561.83	$754.31	$1,153.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,146.88 / $11,500.00 / $26,542.00	Facility		$2,146.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,944.00 / $4,957.77 / $5,121.38	Professional		$4,944.00	$4,957.77	$5,121.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.04 / $697.16 / $1,095.39	Facility		$547.04	$697.16	$1,095.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $848.61 / $1,052.28	Professional		$707.18	$848.61	$1,052.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.99 / $920.50 / $1,034.03	Professional		$607.99	$920.50	$1,034.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.54 / $703.71 / $1,155.82	Facility		$547.54	$703.71	$1,155.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.82 / $774.76 / $1,183.19	Professional		$573.82	$774.76	$1,183.19
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,478.00 / $4,787.00	Facility		$745.00	$2,478.00	$4,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.21 / $601.45 / $930.82	Professional		$445.21	$601.45	$930.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.84 / $547.04 / $762.02	Professional		$482.84	$547.04	$762.02