Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $136.16 / $181.67	Professional		$121.68	$136.16	$181.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $113.04 / $113.04	Professional		$113.04	$113.04	$113.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,625.22 / $6,940.25 / $13,434.62	Facility		$3,625.22	$6,940.25	$13,434.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $138.31 / $192.69	Professional		$108.52	$138.31	$192.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $186.25 / $304.01	Professional		$129.56	$186.25	$304.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.50 / $1,442.43 / $1,442.43	Professional		$1,256.50	$1,442.43	$1,442.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $189.93 / $339.10	Facility		$121.69	$189.93	$339.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $172.73 / $207.27	Professional		$149.69	$172.73	$207.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $133.72 / $144.05	Professional		$120.86	$133.72	$144.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $192.44 / $345.40	Facility		$121.69	$192.44	$345.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $193.09 / $320.76	Professional		$129.56	$193.09	$320.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $6,723.00 / $13,190.00	Facility		$2,608.00	$6,723.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $147.82 / $227.65	Professional		$103.10	$147.82	$227.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $113.04 / $155.38	Professional		$98.28	$113.04	$155.38