Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $727.61 / $1,205.24	Professional		$622.89	$727.61	$1,205.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $821.45 / $821.45 / $821.45	Professional		$821.45	$821.45	$821.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.59 / $822.86 / $1,154.18	Professional		$664.59	$822.86	$1,154.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $668.59 / $668.59	Facility		$80.00	$668.59	$668.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $806.04 / $806.04 / $806.04	Facility		$806.04	$806.04	$806.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.08 / $909.87 / $1,412.36	Professional		$692.08	$909.87	$1,412.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,646.92 / $11,500.00 / $26,542.00	Facility		$2,646.92	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,157.76 / $5,300.56 / $6,104.18	Professional		$5,157.76	$5,300.56	$6,104.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.11 / $887.14 / $1,385.73	Facility		$679.11	$887.14	$1,385.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.98 / $1,049.97 / $1,301.96	Professional		$874.98	$1,049.97	$1,301.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $752.97 / $903.40 / $903.40	Professional		$752.97	$903.40	$903.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.79 / $889.09 / $1,407.71	Facility		$686.79	$889.09	$1,407.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.87 / $937.75 / $1,428.79	Professional		$698.87	$937.75	$1,428.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.27 / $732.31 / $1,151.50	Professional		$541.27	$732.31	$1,151.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $673.32 / $945.53	Professional		$597.41	$673.32	$945.53