Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.12 / $3,120.00 / $10,836.00	Facility		$562.12	$3,120.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $466.85 / $763.01	Professional		$297.02	$466.85	$763.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.44 / $381.56 / $381.56	Professional		$275.44	$381.56	$381.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,297.80 / $8,403.96	Facility		$2,354.21	$4,297.80	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $489.71 / $677.77	Professional		$312.80	$489.71	$677.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $337.37 / $339.11	Facility		$80.00	$337.37	$339.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $603.66 / $603.66	Facility		$603.66	$603.66	$603.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.86 / $555.52 / $889.55	Professional		$361.86	$555.52	$889.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.03 / $11,500.00 / $26,542.00	Facility		$1,647.03	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,598.40 / $4,027.20 / $4,716.97	Professional		$2,598.40	$4,027.20	$4,716.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.68 / $511.35 / $785.81	Facility		$350.68	$511.35	$785.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $654.59 / $978.16	Professional		$457.51	$654.59	$978.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $348.65 / $599.51 / $1,358.67	Professional		$348.65	$599.51	$1,358.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.12 / $516.26 / $797.12	Facility		$351.12	$516.26	$797.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $583.29 / $991.71	Professional		$372.20	$583.29	$991.71
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 $395.54 / $532.83 / $840.36	Professional		$395.54	$532.83	$840.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.79 / $521.64 / $735.76	Professional		$463.79	$521.64	$735.76