Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,640.00 / $7,609.00	Facility		$714.00	$2,640.00	$7,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.67 / $730.00 / $1,111.97	Professional		$651.67	$730.00	$1,111.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.40 / $933.40 / $933.40	Professional		$933.40	$933.40	$933.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.59 / $3,680.36 / $7,853.00	Facility		$2,017.59	$3,680.36	$7,853.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.03 / $809.43 / $1,106.40	Professional		$626.03	$809.43	$1,106.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $656.73 / $656.73 / $662.07	Facility		$656.73	$656.73	$662.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $6,644.00	Facility		$1,512.62	$2,006.70	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.14 / $909.69 / $1,425.54	Professional		$655.14	$909.69	$1,425.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $13,152.00 / $26,542.00	Facility		$7,929.30	$13,152.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,066.64 / $5,181.28 / $5,884.28	Professional		$5,066.64	$5,181.28	$5,884.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.82 / $787.54 / $1,415.78	Facility		$643.82	$787.54	$1,415.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $783.77 / $1,042.76 / $1,267.66	Professional		$783.77	$1,042.76	$1,267.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $817.57 / $1,813.80	Professional		$5.00	$817.57	$1,813.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.01 / $788.09 / $1,576.61	Facility		$647.01	$788.09	$1,576.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $959.98 / $1,739.53	Professional		$683.39	$959.98	$1,739.53
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 $548.14 / $762.88 / $1,193.10	Professional		$548.14	$762.88	$1,193.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $679.87 / $919.77	Professional		$581.66	$679.87	$919.77