Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,500.00 / $7,542.00	Facility		$652.00	$2,500.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.29 / $988.66 / $1,521.74	Professional		$266.29	$988.66	$1,521.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $209.67 / $236.35	Professional		$118.93	$209.67	$236.35
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 $244.43 / $768.81 / $1,504.83	Professional		$244.43	$768.81	$1,504.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.28 / $1,080.95 / $1,080.95	Facility		$239.28	$1,080.95	$1,080.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.79 / $645.83 / $1,944.00	Professional		$298.79	$645.83	$1,944.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,802.46 / $1,842.54 / $8,980.00	Facility		$1,802.46	$1,842.54	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,893.69 / $7,328.19 / $8,697.53	Professional		$3,893.69	$7,328.19	$8,697.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $796.07 / $1,860.03	Facility		$273.48	$796.07	$1,860.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.25 / $1,166.72 / $1,850.05	Professional		$337.25	$1,166.72	$1,850.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.32 / $999.44 / $2,234.84	Professional		$295.32	$999.44	$2,234.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $835.08 / $1,889.52	Facility		$273.52	$835.08	$1,889.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $809.67 / $2,347.46	Professional		$319.58	$809.67	$2,347.46
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 $940.35 / $1,292.98 / $2,089.09	Professional		$940.35	$1,292.98	$2,089.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $848.90 / $948.94 / $1,346.98	Professional		$848.90	$948.94	$1,346.98