Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.13 / $2,757.00 / $8,831.89	Facility		$641.13	$2,757.00	$8,831.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.84 / $607.63 / $963.16	Professional		$427.84	$607.63	$963.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.74 / $268.49 / $447.48	Professional		$223.74	$268.49	$447.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.96 / $4,297.80 / $8,384.57	Facility		$2,512.96	$4,297.80	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.54 / $609.52 / $870.65	Professional		$432.54	$609.52	$870.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $432.78 / $1,913.44 / $1,913.44	Facility		$432.78	$1,913.44	$1,913.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.21 / $795.21 / $795.21	Facility		$795.21	$795.21	$795.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.55 / $738.38 / $1,156.58	Professional		$500.55	$738.38	$1,156.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,213.08 / $11,500.00 / $26,542.00	Facility		$2,213.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $215.87 / $239.09 / $239.09	Facility	AS	$215.87	$239.09	$239.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,436.64 / $4,746.47 / $5,528.55	Professional		$3,436.64	$4,746.47	$5,528.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.71 / $675.60 / $1,054.83	Facility		$476.71	$675.60	$1,054.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $576.58 / $807.21 / $1,149.91	Professional		$576.58	$807.21	$1,149.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $529.14 / $808.83 / $1,407.91	Professional		$529.14	$808.83	$1,407.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.71 / $676.79 / $1,071.00	Facility		$476.71	$676.79	$1,071.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $250.79 / $250.79 / $250.79	Facility	80	$250.79	$250.79	$250.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $213.17	Facility	AS	$79.52	$79.52	$213.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.01 / $763.82 / $1,250.57	Professional		$510.01	$763.82	$1,250.57
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 $514.82 / $687.59 / $1,091.31	Professional		$514.82	$687.59	$1,091.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $545.23 / $615.29 / $864.59	Professional		$545.23	$615.29	$864.59