Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.38 / $2,500.00 / $7,316.00	Facility		$522.38	$2,500.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.97 / $391.79 / $539.80	Professional		$296.97	$391.79	$539.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $404.14 / $404.14	Professional		$404.14	$404.14	$404.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,095.42 / $3,990.00 / $7,696.71	Facility		$2,095.42	$3,990.00	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.63 / $387.24 / $640.16	Professional		$280.63	$387.24	$640.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $272.49 / $272.49 / $272.49	Facility		$272.49	$272.49	$272.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.28 / $461.51 / $752.36	Professional		$328.28	$461.51	$752.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,104.92 / $16,394.00 / $16,394.00	Facility		$2,104.92	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,428.00 / $2,914.72 / $3,397.13	Professional		$2,428.00	$2,914.72	$3,397.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.98 / $440.45 / $842.92	Facility		$312.98	$440.45	$842.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.13 / $510.07 / $706.25	Professional		$388.13	$510.07	$706.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.10 / $433.10 / $433.10	Professional		$433.10	$433.10	$433.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.99 / $445.34 / $880.01	Facility		$312.99	$445.34	$880.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $477.77 / $833.56	Professional		$339.49	$477.77	$833.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.30 / $453.28 / $702.49	Professional		$327.30	$453.28	$702.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.87 / $377.32 / $531.28	Professional		$334.87	$377.32	$531.28