Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,496.00 / $7,495.00	Facility		$652.00	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.36 / $849.77 / $1,423.54	Professional		$218.36	$849.77	$1,423.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $198.56 / $535.17	Professional		$131.44	$198.56	$535.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $609.00 / $1,560.91	Professional		$192.45	$609.00	$1,560.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $185.36 / $522.11 / $522.11	Facility		$185.36	$522.11	$522.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.98 / $536.97 / $1,828.79	Professional		$243.98	$536.97	$1,828.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.60 / $1,835.31 / $8,980.00	Facility		$1,449.60	$1,835.31	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,726.71 / $7,125.20 / $8,405.10	Professional		$3,726.71	$7,125.20	$8,405.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.73 / $619.79 / $1,731.21	Facility		$216.73	$619.79	$1,731.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $1,131.07 / $1,793.51	Professional		$264.08	$1,131.07	$1,793.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $962.12 / $2,194.50	Professional		$230.38	$962.12	$2,194.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.73 / $654.54 / $1,749.63	Facility		$216.73	$654.54	$1,749.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $589.00 / $2,262.96	Professional		$257.04	$589.00	$2,262.96
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 $881.24 / $1,174.98 / $1,935.89	Professional		$881.24	$1,174.98	$1,935.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.96 / $918.41 / $1,308.00	Professional		$822.96	$918.41	$1,308.00