Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,186.00 / $10,893.00	Facility		$732.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $527.27 / $727.22	Professional		$434.40	$527.27	$727.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $647.20 / $647.20 / $647.20	Professional		$647.20	$647.20	$647.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $545.30 / $762.09	Professional		$400.14	$545.30	$762.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $436.59 / $436.59 / $436.59	Facility		$436.59	$436.59	$436.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $655.74 / $999.65	Professional		$496.00	$655.74	$999.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,486.75	Facility		$55.00	$55.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.52 / $3,394.08 / $4,042.13	Professional		$3,317.52	$3,394.08	$4,042.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.57 / $637.39 / $1,065.83	Facility		$456.57	$637.39	$1,065.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $700.28 / $823.86	Professional		$595.01	$700.28	$823.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.42 / $474.57 / $790.10	Professional		$434.42	$474.57	$790.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.57 / $641.51 / $1,195.75	Facility		$456.57	$641.51	$1,195.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $661.42 / $1,081.97	Professional		$497.80	$661.42	$1,081.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.26 / $555.76 / $886.99	Professional		$403.26	$555.76	$886.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $447.37 / $611.60	Professional		$390.63	$447.37	$611.60