Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.96 / $2,514.00 / $7,495.00	Facility		$502.96	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $445.22 / $696.85	Professional		$301.81	$445.22	$696.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.35 / $314.35 / $314.35	Professional		$314.35	$314.35	$314.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,326.83 / $4,243.05 / $8,403.96	Facility		$2,326.83	$4,243.05	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.97 / $448.32 / $655.09	Professional		$301.97	$448.32	$655.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $306.62 / $307.66	Facility		$80.00	$306.62	$307.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $558.83 / $558.83	Facility		$558.83	$558.83	$558.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $533.53 / $862.29	Professional		$355.22	$533.53	$862.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.28 / $11,500.00 / $16,394.00	Facility		$1,555.28	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.56 / $3,514.48 / $4,065.38	Professional		$2,426.56	$3,514.48	$4,065.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.46 / $494.29 / $753.67	Facility		$338.46	$494.29	$753.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $420.93 / $602.25 / $848.32	Professional		$420.93	$602.25	$848.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.87 / $490.04 / $740.95	Professional		$332.87	$490.04	$740.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.63 / $494.85 / $781.16	Facility		$338.63	$494.85	$781.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.53 / $560.96 / $924.45	Professional		$364.53	$560.96	$924.45
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 $380.57 / $520.32 / $813.03	Professional		$380.57	$520.32	$813.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.23 / $453.74 / $638.58	Professional		$402.23	$453.74	$638.58