Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,068.00 / $6,691.00	Facility		$461.00	$2,068.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $1,683.72 / $2,342.19	Professional		$145.79	$1,683.72	$2,342.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $201.09 / $1,384.88	Professional		$201.09	$201.09	$1,384.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,353.00 / $6,752.00 / $14,275.00	Facility		$4,353.00	$6,752.00	$14,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $1,260.75 / $2,201.14	Professional		$135.21	$1,260.75	$2,201.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $129.56 / $129.56	Facility		$129.56	$129.56	$129.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $350.76 / $3,186.53	Professional		$170.62	$350.76	$3,186.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,967.63	Facility		$55.00	$55.00	$2,967.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,069.23 / $11,575.52 / $13,731.90	Professional		$6,069.23	$11,575.52	$13,731.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $667.57 / $2,966.73	Facility		$154.19	$667.57	$2,966.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $2,041.55 / $2,826.76	Professional		$185.86	$2,041.55	$2,826.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.26 / $1,428.26 / $2,863.25	Professional		$148.26	$1,428.26	$2,863.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $1,329.04 / $3,255.23	Facility		$154.19	$1,329.04	$3,255.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $460.74 / $3,317.53	Professional		$170.93	$460.74	$3,317.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $26,429.00	Facility		$2,605.00	$7,123.00	$26,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.67 / $2,031.96 / $3,163.04	Professional		$1,465.67	$2,031.96	$3,163.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,340.31 / $1,489.12 / $2,132.03	Professional		$1,340.31	$1,489.12	$2,132.03