Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.86 / $3,120.00 / $10,639.00	Facility		$616.86	$3,120.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $498.30 / $709.34	Professional		$336.30	$498.30	$709.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $211.58 / $332.74	Professional		$211.58	$211.58	$332.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,891.29 / $3,928.93 / $7,696.71	Facility		$1,891.29	$3,928.93	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $472.43 / $778.02	Professional		$305.47	$472.43	$778.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.08 / $316.08 / $550.54	Facility		$316.08	$316.08	$550.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $2,530.00	Facility		$1,508.82	$2,001.65	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.22 / $544.12 / $888.02	Professional		$363.22	$544.12	$888.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,427.17 / $11,500.00 / $26,542.00	Facility		$2,427.17	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.48 / $3,910.96 / $4,535.03	Professional		$2,572.48	$3,910.96	$4,535.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.48 / $506.89 / $866.31	Facility		$342.48	$506.89	$866.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.58 / $638.95 / $944.96	Professional		$446.58	$638.95	$944.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $492.60 / $1,464.00	Professional		$5.00	$492.60	$1,464.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.27 / $514.98 / $975.34	Facility		$343.27	$514.98	$975.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $601.89 / $1,108.58	Professional		$372.17	$601.89	$1,108.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,217.00 / $7,600.00	Facility		$1,190.00	$3,217.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $542.42 / $845.00	Professional		$396.08	$542.42	$845.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.05 / $524.37 / $711.72	Professional		$448.05	$524.37	$711.72