Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,570.00 / $10,893.00	Facility		$872.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.70 / $875.01 / $1,276.64	Professional		$774.70	$875.01	$1,276.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $738.48 / $738.48 / $738.48	Professional		$738.48	$738.48	$738.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.44 / $1,408.22 / $5,821.21	Facility		$833.44	$1,408.22	$5,821.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.18 / $929.51 / $1,364.46	Professional		$726.18	$929.51	$1,364.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $788.62 / $788.62 / $816.65	Facility		$788.62	$788.62	$816.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.85 / $1,102.23 / $1,730.86	Professional		$802.85	$1,102.23	$1,730.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,708.88	Facility		$55.00	$55.00	$7,708.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,035.68 / $6,168.56 / $7,373.70	Professional		$6,035.68	$6,168.56	$7,373.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.51 / $976.07 / $1,730.51	Facility		$805.51	$976.07	$1,730.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $959.35 / $1,276.35 / $1,501.60	Professional		$959.35	$1,276.35	$1,501.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,096.80 / $2,152.50	Professional		$7.00	$1,096.80	$2,152.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.27 / $980.62 / $1,898.03	Facility		$810.27	$980.62	$1,898.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $832.84 / $1,166.96 / $2,106.67	Professional		$832.84	$1,166.96	$2,106.67
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.51 / $920.83 / $1,433.86	Professional		$687.51	$920.83	$1,433.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $827.48 / $1,116.67	Professional		$711.98	$827.48	$1,116.67