Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,107.00 / $6,762.00	Facility		$500.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $654.51 / $2,510.67	Professional		$202.53	$654.51	$2,510.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.35 / $179.35 / $179.35	Professional		$179.35	$179.35	$179.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $1,041.15 / $1,894.12	Professional		$185.95	$1,041.15	$1,894.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $179.32 / $179.32	Facility		$179.32	$179.32	$179.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $441.48 / $3,885.01	Professional		$228.83	$441.48	$3,885.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,463.84	Facility		$55.00	$55.00	$2,463.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,002.96 / $11,331.83 / $12,542.72	Professional		$5,002.96	$11,331.83	$12,542.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $924.20 / $2,441.78	Facility		$207.77	$924.20	$2,441.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $343.60 / $2,271.62	Professional		$255.24	$343.60	$2,271.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $1,186.50 / $2,534.00	Professional		$205.50	$1,186.50	$2,534.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $1,178.74 / $3,134.41	Facility		$207.77	$1,178.74	$3,134.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $611.98 / $4,161.35	Professional		$231.42	$611.98	$4,161.35
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,829.22 / $2,661.09 / $4,171.20	Professional		$1,829.22	$2,661.09	$4,171.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,107.85 / $1,233.98 / $1,761.37	Professional		$1,107.85	$1,233.98	$1,761.37