Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $2,107.00 / $7,408.00	Facility		$466.00	$2,107.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $360.03 / $698.38	Professional		$91.40	$360.03	$698.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $414.71 / $445.93	Professional		$38.35	$414.71	$445.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $3,017.00 / $4,503.00	Facility		$1,845.00	$3,017.00	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $308.95 / $769.91	Professional		$80.89	$308.95	$769.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $3,742.68 / $3,742.68	Facility		$77.55	$3,742.68	$3,742.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $238.29 / $792.32	Professional		$103.16	$238.29	$792.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $583.98 / $895.52	Facility		$55.00	$583.98	$895.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.41 / $3,451.92 / $4,098.45	Professional		$1,818.41	$3,451.92	$4,098.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $318.62 / $788.07	Facility		$90.21	$318.62	$788.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $549.79 / $871.78	Professional		$109.33	$549.79	$871.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $866.20 / $1,456.40	Professional		$5.00	$866.20	$1,456.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $318.62 / $801.06	Facility		$90.36	$318.62	$801.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $260.35 / $1,054.63	Professional		$108.55	$260.35	$1,054.63
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,287.00	Facility		$161.00	$950.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $504.66 / $838.23	Professional		$369.74	$504.66	$838.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.02 / $445.93 / $635.45	Professional		$400.02	$445.93	$635.45