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 / $7,497.00	Facility		$652.00	$2,496.00	$7,497.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $800.40 / $1,296.50 / $5,629.54	Facility	50	$800.40	$1,296.50	$5,629.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.01 / $1,028.97 / $1,665.40	Professional		$275.01	$1,028.97	$1,665.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,182.65 / $2,182.65 / $2,182.65	Professional	50	$2,182.65	$2,182.65	$2,182.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $372.78 / $372.78 / $1,649.37	Professional	50	$372.78	$372.78	$1,649.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,446.94 / $4,295.47 / $8,535.54	Facility		$2,446.94	$4,295.47	$8,535.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $892.55 / $1,803.80	Professional		$259.18	$892.55	$1,803.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $247.92 / $247.92 / $1,277.53	Facility		$247.92	$247.92	$1,277.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $750.22 / $2,204.13	Professional		$316.02	$750.22	$2,204.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,228.54	Facility		$55.00	$55.00	$2,228.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,525.18 / $8,472.40 / $10,117.95	Professional		$4,525.18	$8,472.40	$10,117.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $1,000.06 / $1,982.27	Facility		$274.29	$1,000.06	$1,982.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.33 / $1,442.65 / $2,583.19	Professional		$355.33	$1,442.65	$2,583.19
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $331.34 / $331.34 / $331.34	Professional	50	$331.34	$331.34	$331.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.06 / $855.04 / $2,387.62	Professional		$298.06	$855.04	$2,387.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $1,002.08 / $2,017.75	Facility		$274.29	$1,002.08	$2,017.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.06 / $891.36 / $2,638.57	Professional		$337.06	$891.36	$2,638.57
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 $1,085.41 / $1,477.32 / $2,373.53	Professional		$1,085.41	$1,477.32	$2,373.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $985.01 / $1,099.58 / $1,562.52	Professional		$985.01	$1,099.58	$1,562.52