Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $2,986.00 / $8,883.00	Facility		$732.00	$2,986.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.88 / $714.24 / $1,159.15	Professional		$467.88	$714.24	$1,159.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.73 / $281.73 / $461.45	Professional		$281.73	$281.73	$461.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,247.18 / $8,853.29 / $17,646.75	Facility		$4,247.18	$8,853.29	$17,646.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.55 / $763.96 / $1,057.33	Professional		$463.55	$763.96	$1,057.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $472.36 / $9,379.58 / $9,379.58	Facility		$472.36	$9,379.58	$9,379.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.11 / $865.11 / $865.11	Facility		$865.11	$865.11	$865.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.91 / $856.07 / $1,394.90	Professional		$543.91	$856.07	$1,394.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $11,500.00 / $26,542.00	Facility		$2,406.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.88 / $258.37 / $258.37	Facility	AS	$233.88	$258.37	$258.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,081.00 / $5,969.28 / $6,929.48	Professional		$4,081.00	$5,969.28	$6,929.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.76 / $787.17 / $1,225.47	Facility		$522.76	$787.17	$1,225.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $637.17 / $929.54 / $1,443.37	Professional		$637.17	$929.54	$1,443.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.61 / $852.72 / $1,777.27	Professional		$498.61	$852.72	$1,777.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $792.24 / $1,242.50	Facility		$523.78	$792.24	$1,242.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.08 / $317.08 / $317.08	Facility	80	$317.08	$317.08	$317.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $269.52	Facility	AS	$86.51	$86.51	$269.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.39 / $913.39 / $1,542.47	Professional		$550.39	$913.39	$1,542.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.84 / $855.30 / $1,357.24	Professional		$605.84	$855.30	$1,357.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.37 / $771.23 / $1,086.34	Professional		$684.37	$771.23	$1,086.34