Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,695.00 / $11,139.00	Facility		$951.00	$3,695.00	$11,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $812.38 / $1,089.59	Professional		$565.49	$812.38	$1,089.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $653.76 / $702.97 / $1,050.99	Professional		$653.76	$702.97	$1,050.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.76 / $7,032.17 / $13,880.49	Facility		$3,906.76	$7,032.17	$13,880.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $732.86 / $1,147.22	Professional		$592.41	$732.86	$1,147.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $673.95 / $4,690.85 / $4,690.85	Facility		$673.95	$4,690.85	$4,690.85
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 $757.14 / $934.95 / $1,324.12	Professional		$757.14	$934.95	$1,324.12
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 Facility Modifier AS Low / Median / High Price $164.52 / $1,618.01 / $1,618.01	Facility	AS	$164.52	$1,618.01	$1,618.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,209.04 / $5,349.84 / $6,354.15	Professional		$5,209.04	$5,349.84	$6,354.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.97 / $878.71 / $1,673.23	Facility		$702.97	$878.71	$1,673.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $935.62 / $1,079.57 / $1,295.48	Professional		$935.62	$1,079.57	$1,295.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.94 / $892.16 / $1,562.58	Professional		$696.94	$892.16	$1,562.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.97 / $898.81 / $1,899.83	Facility		$702.97	$898.81	$1,899.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.56 / $961.56 / $1,534.26	Professional		$723.56	$961.56	$1,534.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,646.00 / $13,190.00	Facility		$2,605.00	$6,646.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.95 / $789.26 / $1,279.72	Professional		$591.95	$789.26	$1,279.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $614.25 / $702.97 / $962.09	Professional		$614.25	$702.97	$962.09