Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,747.00 / $7,542.00	Facility		$696.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.32 / $662.67 / $1,096.85	Professional		$568.32	$662.67	$1,096.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.49 / $407.49 / $407.49	Professional		$407.49	$407.49	$407.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,263.77 / $2,168.62 / $4,764.00	Facility		$1,263.77	$2,168.62	$4,764.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $775.30 / $1,033.10	Professional		$612.52	$775.30	$1,033.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $632.09 / $632.09	Facility		$80.00	$632.09	$632.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.59 / $788.67 / $1,238.82	Professional		$612.59	$788.67	$1,238.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,413.64 / $11,500.00 / $16,394.00	Facility		$2,413.64	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,692.72 / $4,858.88 / $5,583.68	Professional		$4,692.72	$4,858.88	$5,583.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.45 / $774.77 / $1,197.19	Facility		$591.45	$774.77	$1,197.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $798.15 / $957.78 / $1,187.65	Professional		$798.15	$957.78	$1,187.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $805.90 / $805.90 / $805.90	Professional		$805.90	$805.90	$805.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $780.72 / $1,234.13	Facility		$594.00	$780.72	$1,234.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.50 / $821.19 / $1,305.54	Professional		$627.50	$821.19	$1,305.54
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.34 / $641.30 / $1,034.43	Professional		$460.34	$641.30	$1,034.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $612.77 / $862.58	Professional		$544.96	$612.77	$862.58