Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $3,174.00 / $10,893.00	Facility		$589.00	$3,174.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $446.49 / $718.14	Professional		$286.68	$446.49	$718.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $286.14 / $331.32	Professional		$273.82	$286.14	$331.32
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 $289.60 / $444.61 / $637.88	Professional		$289.60	$444.61	$637.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $1,747.06 / $1,747.06	Facility		$290.16	$1,747.06	$1,747.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.53 / $535.53 / $535.53	Facility		$535.53	$535.53	$535.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.40 / $523.72 / $851.03	Professional		$337.40	$523.72	$851.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.08 / $11,500.00 / $26,542.00	Facility		$1,487.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.96 / $3,477.36 / $4,024.95	Professional		$2,324.96	$3,477.36	$4,024.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.85 / $489.50 / $751.42	Facility		$321.85	$489.50	$751.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $395.51 / $576.97 / $839.59	Professional		$395.51	$576.97	$839.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.20 / $619.90 / $1,208.42	Professional		$333.20	$619.90	$1,208.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.45 / $489.76 / $773.75	Facility		$324.45	$489.76	$773.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.14 / $546.35 / $925.10	Professional		$343.14	$546.35	$925.10
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 $381.38 / $512.66 / $816.00	Professional		$381.38	$512.66	$816.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.09 / $448.84 / $632.07	Professional		$398.09	$448.84	$632.07