Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,768.00 / $7,542.00	Facility		$652.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.67 / $376.20 / $609.01	Professional		$316.67	$376.20	$609.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $177.44 / $177.44	Professional		$177.44	$177.44	$177.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,152.37 / $18,723.50	Facility		$4,307.00	$9,152.37	$18,723.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $427.71 / $585.79	Professional		$347.81	$427.71	$585.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $369.57 / $369.57	Facility		$80.00	$369.57	$369.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $425.93	Facility		$425.93	$425.93	$425.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.01 / $438.75 / $672.60	Professional		$325.01	$438.75	$672.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.84 / $16,394.00 / $19,913.50	Facility		$1,398.84	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,722.80 / $2,790.96 / $3,238.95	Professional		$2,722.80	$2,790.96	$3,238.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.35 / $390.37 / $621.04	Facility		$313.35	$390.37	$621.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $555.55 / $688.89	Professional		$462.96	$555.55	$688.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $442.68 / $856.42	Professional		$373.50	$442.68	$856.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.35 / $399.25 / $665.42	Facility		$313.35	$399.25	$665.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.54 / $449.95 / $722.67	Professional		$333.54	$449.95	$722.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,100.00 / $8,326.00	Facility		$1,391.00	$4,100.00	$8,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.02 / $344.48 / $534.29	Professional		$250.02	$344.48	$534.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $354.88 / $500.65	Professional		$316.10	$354.88	$500.65