Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $218.93 / $328.72	Professional		$193.52	$218.93	$328.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.29 / $1,214.57 / $2,589.55	Facility		$649.29	$1,214.57	$2,589.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $248.56 / $346.31	Professional		$196.38	$248.56	$346.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.12 / $205.12 / $210.11	Facility		$205.12	$205.12	$210.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $1,652.00	Facility		$529.61	$702.60	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $277.88 / $430.60	Professional		$198.46	$277.88	$430.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,776.25 / $11,500.00 / $12,000.00	Facility		$2,776.25	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.08 / $1,549.92 / $1,847.25	Professional		$1,518.08	$1,549.92	$1,847.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.44 / $230.17 / $430.85	Facility		$185.44	$230.17	$430.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $320.20 / $389.26	Professional		$240.67	$320.20	$389.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $152.30 / $544.60	Professional		$5.00	$152.30	$544.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.56 / $231.75 / $455.94	Facility		$185.56	$231.75	$455.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $294.08 / $528.22	Professional		$211.56	$294.08	$528.22
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $221.59 / $351.44	Professional		$166.19	$221.59	$351.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $207.76 / $280.72	Professional		$178.61	$207.76	$280.72