Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $3,174.00 / $10,234.00	Facility		$723.00	$3,174.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $497.49 / $765.73	Professional		$444.56	$497.49	$765.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.98 / $456.98 / $456.98	Professional		$456.98	$456.98	$456.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.44 / $3,633.48 / $7,524.82	Facility		$2,039.44	$3,633.48	$7,524.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.69 / $564.14 / $785.97	Professional		$445.69	$564.14	$785.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $466.84 / $466.84 / $476.59	Facility		$466.84	$466.84	$476.59
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 $447.39 / $626.79 / $971.44	Professional		$447.39	$626.79	$971.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $26,542.00	Facility		$7,929.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,460.72 / $3,533.20 / $4,207.43	Professional		$3,460.72	$3,533.20	$4,207.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.72 / $530.59 / $1,006.70	Facility		$434.72	$530.59	$1,006.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $548.30 / $729.49 / $886.83	Professional		$548.30	$729.49	$886.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $474.07 / $592.58 / $965.90	Professional		$474.07	$592.58	$965.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.90 / $544.14 / $1,060.46	Facility		$436.90	$544.14	$1,060.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.91 / $650.91 / $1,181.46	Professional		$471.91	$650.91	$1,181.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $3,264.00 / $7,600.00	Facility		$1,155.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $510.63 / $781.75	Professional		$371.36	$510.63	$781.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.93 / $473.44 / $639.98	Professional		$406.93	$473.44	$639.98