Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $2,514.00 / $7,495.00	Facility		$546.00	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $436.49 / $705.17	Professional		$290.88	$436.49	$705.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.56 / $391.56 / $391.56	Professional		$391.56	$391.56	$391.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.79 / $2,182.42 / $4,460.95	Facility		$1,262.79	$2,182.42	$4,460.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.62 / $466.32 / $675.86	Professional		$293.62	$466.32	$675.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.93 / $1,499.37 / $1,499.37	Facility		$299.93	$1,499.37	$1,499.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.54 / $535.54 / $535.54	Facility		$535.54	$535.54	$535.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $517.28 / $820.37	Professional		$341.63	$517.28	$820.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.04 / $11,500.00 / $16,394.00	Facility		$1,492.04	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.96 / $4,232.93 / $5,618.43	Professional		$2,290.96	$4,232.93	$5,618.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $480.14 / $748.25	Facility		$317.20	$480.14	$748.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.63 / $581.79 / $870.44	Professional		$406.63	$581.79	$870.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.69 / $547.73 / $724.01	Professional		$362.69	$547.73	$724.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $483.38 / $749.59	Facility		$317.20	$483.38	$749.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.35 / $547.82 / $927.42	Professional		$343.35	$547.82	$927.42
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 $372.40 / $503.09 / $783.71	Professional		$372.40	$503.09	$783.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.72 / $463.73 / $653.27	Professional		$412.72	$463.73	$653.27