Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,060.00 / $10,234.00	Facility		$651.00	$3,060.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $590.85 / $977.40	Professional		$438.29	$590.85	$977.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $900.59 / $900.59 / $900.59	Professional		$900.59	$900.59	$900.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,433.61 / $4,325.17 / $8,431.35	Facility		$2,433.61	$4,325.17	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $616.41 / $892.77	Professional		$447.70	$616.41	$892.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $451.27 / $454.18	Facility		$80.00	$451.27	$454.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.92 / $831.92 / $831.92	Facility		$831.92	$831.92	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.21 / $733.05 / $1,125.71	Professional		$502.21	$733.05	$1,125.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.12 / $11,500.00 / $26,542.00	Facility		$2,312.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.56 / $4,721.92 / $5,450.48	Professional		$3,600.56	$4,721.92	$5,450.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.28 / $631.95 / $1,049.20	Facility		$410.28	$631.95	$1,049.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.87 / $841.17 / $1,138.85	Professional		$624.87	$841.17	$1,138.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.15 / $853.13 / $1,789.26	Professional		$563.15	$853.13	$1,789.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.95 / $632.69 / $1,067.89	Facility		$416.95	$632.69	$1,067.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.71 / $765.50 / $1,244.65	Professional		$519.71	$765.50	$1,244.65
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 $512.39 / $683.18 / $1,086.16	Professional		$512.39	$683.18	$1,086.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $539.99 / $610.84 / $856.66	Professional		$539.99	$610.84	$856.66