Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,224.00 / $11,453.00	Facility		$759.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.94 / $588.72 / $979.35	Professional		$483.94	$588.72	$979.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $382.98 / $1,066.88	Professional		$259.88	$382.98	$1,066.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,243.05 / $8,384.57	Facility		$2,354.21	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.36 / $566.77 / $881.80	Professional		$455.36	$566.77	$881.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $524.59 / $527.90	Facility		$80.00	$524.59	$527.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Facility		$651.29	$651.29	$651.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.53 / $780.86 / $1,207.15	Professional		$578.53	$780.86	$1,207.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.96 / $11,500.00 / $26,542.00	Facility		$2,122.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,399.59 / $4,544.78 / $4,787.47	Professional		$4,399.59	$4,544.78	$4,787.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $561.14 / $746.67 / $1,154.51	Facility		$561.14	$746.67	$1,154.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $701.93 / $842.31 / $1,044.46	Professional		$701.93	$842.31	$1,044.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $561.55 / $675.06 / $1,112.26	Professional		$561.55	$675.06	$1,112.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.14 / $750.00 / $1,232.22	Facility		$561.14	$750.00	$1,232.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $586.38 / $809.78 / $1,216.54	Professional		$586.38	$809.78	$1,216.54
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 $476.62 / $625.57 / $994.18	Professional		$476.62	$625.57	$994.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.26 / $547.12 / $759.86	Professional		$479.26	$547.12	$759.86