Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $2,986.00 / $9,961.00	Facility		$723.00	$2,986.00	$9,961.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $685.00 / $1,555.00 / $15,785.84	Facility	50	$685.00	$1,555.00	$15,785.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $1,159.20 / $3,339.00	Professional		$177.31	$1,159.20	$3,339.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,009.39 / $4,723.20 / $8,037.56	Professional	50	$2,009.39	$4,723.20	$8,037.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,467.69 / $1,467.69 / $1,467.69	Professional		$1,467.69	$1,467.69	$1,467.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $2,201.54 / $2,201.54 / $2,201.54	Professional	50	$2,201.54	$2,201.54	$2,201.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,648.07 / $2,783.41 / $9,706.48	Facility		$1,648.07	$2,783.41	$9,706.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $1,311.27 / $2,672.87	Professional		$164.37	$1,311.27	$2,672.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $6,538.34 / $6,538.34	Facility		$149.77	$6,538.34	$6,538.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.52 / $2,055.52 / $2,055.52	Facility		$2,055.52	$2,055.52	$2,055.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $647.00 / $4,071.93	Professional		$197.41	$647.00	$4,071.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.94 / $5,897.00 / $5,897.00	Facility		$1,250.94	$5,897.00	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,062.39 / $18,915.68 / $19,483.16	Professional		$11,062.39	$18,915.68	$19,483.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $718.30 / $4,306.06	Facility		$182.79	$718.30	$4,306.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.49 / $1,702.21 / $2,785.43	Professional		$227.49	$1,702.21	$2,785.43
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $4,169.16 / $4,169.16 / $4,169.16	Professional	50	$4,169.16	$4,169.16	$4,169.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $795.10 / $795.10 / $795.10	Professional		$795.10	$795.10	$795.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $1,309.91 / $4,407.62	Facility		$182.79	$1,309.91	$4,407.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $1,044.78 / $4,257.55	Professional		$204.52	$1,044.78	$4,257.55
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $431.77 / $431.77 / $655.56	Professional	AS	$431.77	$431.77	$655.56
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 $1,598.03 / $2,277.83 / $5,402.55	Professional		$1,598.03	$2,277.83	$5,402.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,320.71 / $1,467.69 / $2,101.56	Professional		$1,320.71	$1,467.69	$2,101.56