Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,202.26	Professional		$630.96	$741.31	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,709.64	Facility		$2,570.40	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,096.48	Professional		$645.65	$831.76	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $676.08	Facility		$79.43	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,479.11	Professional		$691.83	$933.25	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,890.45	Facility		$691.83	$1,000.00	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,258.93	Professional		$645.65	$912.01	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,511.89 / $2,630.27	Professional		$954.99	$2,511.89	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,479.11	Facility		$691.83	$912.01	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,479.11	Professional		$645.65	$912.01	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,148.15	Professional		$549.54	$724.44	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Professional		$660.69	$707.95	$707.95