Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.25 / $3,110.00 / $9,961.00	Facility		$579.25	$3,110.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.80 / $452.14 / $722.31	Professional		$298.80	$452.14	$722.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $305.61 / $305.61	Professional		$278.10	$305.61	$305.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.30 / $3,612.38 / $7,196.63	Facility		$1,995.30	$3,612.38	$7,196.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.87 / $443.54 / $723.24	Professional		$294.87	$443.54	$723.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.69 / $2,708.38 / $2,708.38	Facility		$309.69	$2,708.38	$2,708.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $2,530.00	Facility		$1,512.62	$2,006.70	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.96 / $506.85 / $839.09	Professional		$336.96	$506.85	$839.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,210.76 / $11,500.00 / $26,542.00	Facility		$2,210.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.67 / $3,452.56 / $4,094.93	Professional		$2,321.67	$3,452.56	$4,094.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.82 / $471.18 / $788.38	Facility		$312.82	$471.18	$788.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.41 / $586.28 / $844.24	Professional		$410.41	$586.28	$844.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $528.85 / $934.66	Professional		$338.98	$528.85	$934.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.06 / $475.94 / $893.42	Facility		$314.06	$475.94	$893.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.83 / $555.12 / $1,006.91	Professional		$346.83	$555.12	$1,006.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,226.00 / $7,600.00	Facility		$1,190.00	$3,226.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.44 / $498.34 / $769.69	Professional		$363.44	$498.34	$769.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $467.33 / $633.70	Professional		$400.29	$467.33	$633.70