Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,020.00 / $6,691.00	Facility		$352.00	$2,020.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $311.45 / $463.56	Professional		$210.01	$311.45	$463.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $131.30 / $131.30	Professional		$131.30	$131.30	$131.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,964.47 / $4,007.51 / $8,381.73	Facility		$1,964.47	$4,007.51	$8,381.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $312.80 / $524.10	Professional		$200.49	$312.80	$524.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.74 / $195.74 / $323.80	Facility		$195.74	$195.74	$323.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,813.99 / $2,355.06	Facility		$1,322.00	$1,813.99	$2,355.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $363.00 / $603.76	Professional		$233.29	$363.00	$603.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.36 / $11,500.00 / $12,000.00	Facility		$1,500.36	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.00 / $2,393.52 / $2,801.70	Professional		$1,799.00	$2,393.52	$2,801.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $334.52 / $600.12	Facility		$217.01	$334.52	$600.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $395.88 / $581.08	Professional		$276.69	$395.88	$581.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $320.00 / $902.80	Professional		$5.00	$320.00	$902.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.43 / $337.03 / $641.84	Facility		$217.43	$337.03	$641.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.36 / $397.28 / $714.70	Professional		$242.36	$397.28	$714.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.32 / $359.99 / $560.55	Professional		$265.32	$359.99	$560.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $322.18 / $437.36	Professional		$275.52	$322.18	$437.36