Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $10,893.00	Facility		$767.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $586.84 / $921.84	Professional		$491.91	$586.84	$921.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.27 / $307.27 / $307.27	Professional		$307.27	$307.27	$307.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,433.61 / $4,325.17 / $8,431.35	Facility		$2,433.61	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.84 / $659.73 / $925.36	Professional		$532.84	$659.73	$925.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $520.60 / $523.97	Facility		$80.00	$520.60	$523.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $765.83 / $1,160.83	Professional		$564.29	$765.83	$1,160.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,190.28 / $11,500.00 / $26,542.00	Facility		$2,190.28	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,269.52 / $4,338.47 / $5,030.70	Professional		$4,269.52	$4,338.47	$5,030.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.58 / $677.58 / $1,074.13	Facility		$556.58	$677.58	$1,074.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.95 / $867.54 / $1,075.75	Professional		$722.95	$867.54	$1,075.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.55 / $1,001.62 / $2,139.78	Professional		$614.55	$1,001.62	$2,139.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.58 / $695.93 / $1,107.54	Facility		$556.58	$695.93	$1,107.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.52 / $787.04 / $1,200.58	Professional		$589.52	$787.04	$1,200.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.96 / $605.15 / $952.56	Professional		$447.96	$605.15	$952.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $558.69 / $780.50	Professional		$493.61	$558.69	$780.50