Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.49 / $2,986.00 / $10,234.00	Facility		$685.49	$2,986.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.90 / $448.31 / $740.49	Professional		$373.90	$448.31	$740.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $471.27 / $471.27 / $529.30	Professional		$471.27	$471.27	$529.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,250.60 / $2,168.62 / $4,657.29	Facility		$1,250.60	$2,168.62	$4,657.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.03 / $506.43 / $710.34	Professional		$409.03	$506.43	$710.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $410.16 / $1,020.86 / $1,020.86	Facility		$410.16	$1,020.86	$1,020.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $509.99	Facility		$509.99	$509.99	$509.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $589.41 / $908.28	Professional		$433.52	$589.41	$908.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.84 / $11,500.00 / $26,542.00	Facility		$1,680.84	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,866.78 / $4,047.02 / $4,180.57	Professional		$3,866.78	$4,047.02	$4,180.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.05 / $537.78 / $868.76	Facility		$419.05	$537.78	$868.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.19 / $665.21 / $824.85	Professional		$520.19	$665.21	$824.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.81 / $737.20 / $737.20	Professional		$459.81	$737.20	$737.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.44 / $539.37 / $911.43	Facility		$422.44	$539.37	$911.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.48 / $602.27 / $928.08	Professional		$452.48	$602.27	$928.08
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 $343.76 / $461.40 / $747.03	Professional		$343.76	$461.40	$747.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $428.43 / $597.98	Professional		$378.49	$428.43	$597.98