Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,512.00 / $7,495.00	Facility		$652.00	$2,512.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.87 / $339.78 / $535.00	Professional		$230.87	$339.78	$535.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $324.24 / $356.81	Professional		$226.97	$324.24	$356.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.12 / $1,430.26 / $4,278.68	Facility		$273.12	$1,430.26	$4,278.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.42 / $368.98 / $540.99	Professional		$290.42	$368.98	$540.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $3,666.57 / $3,666.57	Facility		$339.37	$3,666.57	$3,666.57
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 $252.25 / $403.31 / $625.45	Professional		$252.25	$403.31	$625.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,929.30	Facility		$55.00	$55.00	$7,929.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.56 / $2,528.56 / $2,926.35	Professional		$2,484.56	$2,528.56	$2,926.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.24 / $335.33 / $549.76	Facility		$204.24	$335.33	$549.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.04 / $514.69 / $625.70	Professional		$370.04	$514.69	$625.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $420.74 / $689.83	Professional		$335.33	$420.74	$689.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $336.38 / $643.34	Facility		$209.54	$336.38	$643.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $426.11 / $792.48	Professional		$269.35	$426.11	$792.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,271.00 / $3,866.00 / $7,608.00	Facility		$1,271.00	$3,866.00	$7,608.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.91 / $347.54 / $560.58	Professional		$249.91	$347.54	$560.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.11 / $335.33 / $454.40	Professional		$287.11	$335.33	$454.40