Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,550.00 / $7,495.00	Facility		$652.00	$2,550.00	$7,495.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.25 / $114.95 / $468.44	Facility	52	$74.25	$114.95	$468.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $434.82 / $943.84	Professional		$138.66	$434.82	$943.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $139.47 / $176.42	Professional		$67.92	$139.47	$176.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,068.08 / $2,479.32 / $4,503.00	Facility		$1,068.08	$2,479.32	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $510.42 / $907.36	Professional		$135.52	$510.42	$907.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $1,060.66 / $1,060.66	Facility		$127.98	$1,060.66	$1,060.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.77 / $907.77 / $907.77	Facility		$907.77	$907.77	$907.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $385.94 / $1,390.19	Professional		$169.38	$385.94	$1,390.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $834.50	Facility		$55.00	$55.00	$834.50
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $566.58 / $566.58	Facility	52	$530.45	$566.58	$566.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.67 / $4,592.00 / $5,366.48	Professional		$2,744.67	$4,592.00	$5,366.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $501.42 / $1,117.94	Facility		$147.02	$501.42	$1,117.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $680.32 / $1,113.25	Professional		$184.18	$680.32	$1,113.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $397.50 / $397.50	Professional		$397.50	$397.50	$397.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $561.32 / $1,142.94	Facility		$147.02	$561.32	$1,142.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $401.13 / $1,461.66	Professional		$175.89	$401.13	$1,461.66
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.05 / $727.30 / $1,418.19	Professional		$473.05	$727.30	$1,418.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $589.90 / $839.67	Professional		$527.85	$589.90	$839.67