Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,500.00 / $7,495.00	Facility		$657.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $1,161.09 / $1,750.37	Professional		$254.33	$1,161.09	$1,750.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $421.84 / $421.84	Professional		$421.84	$421.84	$421.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,442.89 / $4,295.47 / $8,535.54	Facility		$2,442.89	$4,295.47	$8,535.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.58 / $945.99 / $1,970.68	Professional		$239.58	$945.99	$1,970.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $220.81 / $2,410.09 / $2,410.09	Facility		$220.81	$2,410.09	$2,410.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $706.59 / $2,293.87	Professional		$292.39	$706.59	$2,293.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,049.17 / $2,258.37	Facility		$55.00	$2,049.17	$2,258.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,585.76 / $8,723.92 / $10,323.75	Professional		$4,585.76	$8,723.92	$10,323.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.27 / $1,017.41 / $2,123.58	Facility		$250.27	$1,017.41	$2,123.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.69 / $1,478.24 / $2,797.72	Professional		$313.69	$1,478.24	$2,797.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $766.72 / $2,978.70	Professional		$152.87	$766.72	$2,978.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.27 / $1,017.41 / $2,168.04	Facility		$250.27	$1,017.41	$2,168.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $829.62 / $2,829.42	Professional		$306.80	$829.62	$2,829.42
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 $1,176.33 / $1,578.41 / $2,573.23	Professional		$1,176.33	$1,578.41	$2,573.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,009.31 / $1,126.30 / $1,603.45	Professional		$1,009.31	$1,126.30	$1,603.45