Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.17 / $2,945.00 / $8,590.00	Facility		$551.17	$2,945.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $405.82 / $639.49	Professional		$266.35	$405.82	$639.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $283.67 / $457.97	Professional		$141.84	$283.67	$457.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.96 / $4,232.37 / $8,173.76	Facility		$2,189.96	$4,232.37	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.18 / $422.64 / $613.57	Professional		$269.18	$422.64	$613.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.51 / $2,409.32 / $2,409.32	Facility		$275.51	$2,409.32	$2,409.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $503.76 / $503.76	Facility		$503.76	$503.76	$503.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.01 / $491.46 / $783.17	Professional		$316.01	$491.46	$783.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.88 / $11,500.00 / $26,542.00	Facility		$1,396.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.88 / $3,341.28 / $3,875.85	Professional		$2,188.88	$3,341.28	$3,875.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $458.73 / $704.34	Facility		$301.32	$458.73	$704.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $372.82 / $543.88 / $807.57	Professional		$372.82	$543.88	$807.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $584.76 / $1,148.28	Professional		$317.11	$584.76	$1,148.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $461.96 / $716.64	Facility		$301.83	$461.96	$716.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $523.47 / $878.42	Professional		$320.55	$523.47	$878.42
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 $361.62 / $482.16 / $777.72	Professional		$361.62	$482.16	$777.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.91 / $431.31 / $607.99	Professional		$382.91	$431.31	$607.99