Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.44 / $3,682.00 / $10,234.00	Facility		$726.44	$3,682.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.92 / $701.19 / $864.25	Professional		$608.92	$701.19	$864.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $327.50 / $327.50	Professional		$327.50	$327.50	$327.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.73 / $4,350.91 / $8,895.81	Facility		$2,492.73	$4,350.91	$8,895.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.21 / $712.42 / $1,014.55	Professional		$588.21	$712.42	$1,014.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $517.33 / $517.33 / $517.33	Facility		$517.33	$517.33	$517.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,890.43 / $2,890.43 / $2,890.43	Facility		$2,890.43	$2,890.43	$2,890.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.57 / $834.31 / $1,324.27	Professional		$590.57	$834.31	$1,324.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,421.25	Facility		$55.00	$55.00	$11,421.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.59 / $4,322.59 / $4,847.55	Professional		$4,322.59	$4,322.59	$4,847.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.57 / $818.16 / $1,418.05	Facility		$590.57	$818.16	$1,418.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.18 / $822.90 / $987.48	Professional		$713.18	$822.90	$987.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.90 / $769.90 / $769.90	Professional		$769.90	$769.90	$769.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.57 / $824.21 / $1,638.11	Facility		$590.57	$824.21	$1,638.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $589.19 / $849.64 / $1,390.24	Professional		$589.19	$849.64	$1,390.24
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 $521.17 / $684.05 / $1,092.28	Professional		$521.17	$684.05	$1,092.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.21 / $536.88 / $732.54	Professional		$468.21	$536.88	$732.54