Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,236.00 / $7,513.00	Facility		$515.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $359.52 / $621.52	Professional		$308.02	$359.52	$621.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.07 / $348.07 / $348.07	Professional		$348.07	$348.07	$348.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.08 / $2,155.07 / $4,337.25	Facility		$1,152.08	$2,155.07	$4,337.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $409.16 / $573.90	Professional		$330.46	$409.16	$573.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $352.72 / $352.72	Facility		$80.00	$352.72	$352.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.60 / $442.85 / $685.42	Professional		$334.60	$442.85	$685.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,754.80	Facility		$55.00	$55.00	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,677.04 / $2,710.72 / $3,169.88	Professional		$2,677.04	$2,710.72	$3,169.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $392.73 / $628.00	Facility		$317.02	$392.73	$628.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.06 / $544.88 / $675.65	Professional		$454.06	$544.88	$675.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $397.55 / $840.53	Professional		$316.33	$397.55	$840.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.02 / $398.30 / $653.75	Facility		$318.02	$398.30	$653.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.03 / $462.98 / $705.89	Professional		$346.03	$462.98	$705.89
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.99 / $357.12 / $550.40	Professional		$264.99	$357.12	$550.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $348.07 / $491.36	Professional		$310.02	$348.07	$491.36