Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.00 / $2,500.00 / $7,495.00	Facility		$443.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $401.10 / $665.20	Professional		$259.82	$401.10	$665.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $467.65	Professional		$145.22	$145.22	$467.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.21 / $432.96 / $1,633.42	Facility		$250.21	$432.96	$1,633.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $399.13 / $570.41	Professional		$262.99	$399.13	$570.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $264.00 / $264.64	Facility		$80.00	$264.00	$264.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $488.52	Facility		$488.52	$488.52	$488.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.41 / $469.88 / $757.18	Professional		$306.41	$469.88	$757.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.04 / $9,102.00 / $11,500.00	Facility		$1,354.04	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.23 / $3,126.72 / $3,604.65	Professional		$2,122.23	$3,126.72	$3,604.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $439.49 / $676.67	Facility		$290.66	$439.49	$676.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $360.03 / $525.23 / $753.41	Professional		$360.03	$525.23	$753.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.75 / $525.30 / $1,001.45	Professional		$315.75	$525.30	$1,001.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.74 / $439.62 / $679.68	Facility		$290.74	$439.62	$679.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $489.88 / $825.82	Professional		$311.88	$489.88	$825.82
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 $339.97 / $453.29 / $710.53	Professional		$339.97	$453.29	$710.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $403.15 / $567.34	Professional		$357.23	$403.15	$567.34