Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.52 / $3,596.00 / $10,836.00	Facility		$839.52	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $877.21 / $1,238.10	Professional		$725.41	$877.21	$1,238.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $750.37 / $750.37 / $750.37	Professional		$750.37	$750.37	$750.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.74 / $1,329.31 / $4,374.14	Facility		$811.74	$1,329.31	$4,374.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.48 / $918.29 / $1,279.38	Professional		$725.48	$918.29	$1,279.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $753.08 / $753.08 / $753.08	Facility		$753.08	$753.08	$753.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.41 / $1,086.60 / $1,658.88	Professional		$825.41	$1,086.60	$1,658.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,237.44	Facility		$55.00	$55.00	$14,237.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,706.28 / $9,420.83 / $9,420.83	Professional		$8,706.28	$9,420.83	$9,420.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $771.89 / $1,075.83 / $1,990.20	Facility		$771.89	$1,075.83	$1,990.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $847.19 / $1,178.35 / $1,386.31	Professional		$847.19	$1,178.35	$1,386.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.35 / $819.90 / $1,336.03	Professional		$749.35	$819.90	$1,336.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.89 / $1,087.73 / $2,022.54	Facility		$771.89	$1,087.73	$2,022.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $833.66 / $1,098.15 / $1,757.36	Professional		$833.66	$1,098.15	$1,757.36
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.91 / $914.17 / $1,412.94	Professional		$664.91	$914.17	$1,412.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $657.32 / $750.37 / $1,030.89	Professional		$657.32	$750.37	$1,030.89