Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,925.00 / $11,886.00	Facility		$969.00	$3,925.00	$11,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $634.66 / $1,052.69	Professional		$547.94	$634.66	$1,052.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $397.06 / $397.06	Professional		$397.06	$397.06	$397.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $2,236.39 / $4,699.00	Facility		$1,322.94	$2,236.39	$4,699.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.63 / $701.98 / $999.68	Professional		$575.63	$701.98	$999.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $577.23 / $585.74	Facility		$80.00	$577.23	$585.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.86 / $828.29 / $1,236.98	Professional		$591.86	$828.29	$1,236.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,150.14 / $26,542.00 / $33,500.00	Facility		$4,150.14	$26,542.00	$33,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,560.32 / $4,645.20 / $5,436.23	Professional		$4,560.32	$4,645.20	$5,436.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $579.08 / $715.57 / $1,175.44	Facility		$579.08	$715.57	$1,175.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $777.13 / $932.55 / $1,156.35	Professional		$777.13	$932.55	$1,156.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.05 / $805.96 / $1,297.66	Professional		$603.05	$805.96	$1,297.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.67 / $723.59 / $1,254.00	Facility		$581.67	$723.59	$1,254.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $844.60 / $1,279.57	Professional		$616.41	$844.60	$1,279.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,623.00 / $4,166.00 / $10,600.00	Facility		$1,623.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.99 / $648.89 / $1,017.41	Professional		$485.99	$648.89	$1,017.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $601.61 / $836.96	Professional		$530.60	$601.61	$836.96