Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,922.00 / $6,021.00	Facility		$487.00	$1,922.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $453.00 / $750.22	Professional		$170.05	$453.00	$750.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $174.19 / $511.35	Professional		$158.51	$174.19	$511.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.85 / $3,586.60 / $7,196.63	Facility		$1,961.85	$3,586.60	$7,196.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $430.30 / $705.46	Professional		$165.90	$430.30	$705.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.08 / $168.08 / $596.86	Facility		$168.08	$168.08	$596.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.00 / $1,818.57 / $2,361.01	Facility		$1,322.00	$1,818.57	$2,361.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $450.00 / $908.60	Professional		$198.59	$450.00	$908.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.44 / $11,500.00 / $12,000.00	Facility		$1,258.44	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.06 / $3,961.52 / $4,669.43	Professional		$2,080.06	$3,961.52	$4,669.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.01 / $493.94 / $803.06	Facility		$179.01	$493.94	$803.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $589.58 / $964.76	Professional		$232.96	$589.58	$964.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $191.61 / $574.16 / $1,201.30	Professional		$191.61	$574.16	$1,201.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.64 / $497.09 / $858.51	Facility		$179.64	$497.09	$858.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $509.15 / $1,142.90	Professional		$209.03	$509.15	$1,142.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,293.00 / $7,600.00	Facility		$1,165.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $582.80 / $876.99	Professional		$426.60	$582.80	$876.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.44 / $534.76 / $726.69	Professional		$457.44	$534.76	$726.69