Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,695.00 / $10,893.00	Facility		$803.00	$3,695.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $428.64 / $736.02	Professional		$345.68	$428.64	$736.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.68 / $499.17 / $499.17	Professional		$398.68	$499.17	$499.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,678.27 / $4,757.29 / $9,545.67	Facility		$2,678.27	$4,757.29	$9,545.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $457.09 / $665.22	Professional		$383.04	$457.09	$665.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $400.83 / $400.83 / $410.40	Facility		$400.83	$400.83	$410.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $4,125.25 / $4,619.00	Facility		$2,500.00	$4,125.25	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.25 / $532.04 / $826.15	Professional		$397.25	$532.04	$826.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $17,986.75 / $26,542.00	Facility		$11,500.00	$17,986.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,629.78 / $7,231.97 / $7,231.97	Professional		$3,629.78	$7,231.97	$7,231.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.16 / $478.42 / $908.23	Facility		$389.16	$478.42	$908.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $629.52 / $765.30	Professional		$473.17	$629.52	$765.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $531.57 / $938.50	Professional		$407.20	$531.57	$938.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.93 / $489.34 / $954.00	Facility		$391.93	$489.34	$954.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.21 / $564.95 / $1,040.20	Professional		$408.21	$564.95	$1,040.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.98 / $444.59 / $707.48	Professional		$323.98	$444.59	$707.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.16 / $408.52 / $552.02	Professional		$351.16	$408.52	$552.02