Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,504.00 / $10,836.00	Facility		$921.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.61 / $1,266.55 / $1,739.91	Professional		$1,134.61	$1,266.55	$1,739.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,181.80 / $1,181.80 / $1,181.80	Professional		$1,181.80	$1,181.80	$1,181.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.69 / $1,383.08 / $1,926.94	Professional		$1,092.69	$1,383.08	$1,926.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,042.42 / $1,042.42 / $1,042.42	Facility		$1,042.42	$1,042.42	$1,042.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.50 / $1,603.52 / $2,492.69	Professional		$1,229.50	$1,603.52	$2,492.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,775.04	Facility		$55.00	$55.00	$10,775.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,607.04 / $8,934.95 / $9,815.10	Professional		$8,607.04	$8,934.95	$9,815.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.65 / $1,551.78 / $2,663.40	Facility		$1,178.65	$1,551.78	$2,663.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.42 / $1,755.90 / $2,065.77	Professional		$1,262.42	$1,755.90	$2,065.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.75 / $1,754.70 / $2,602.28	Professional		$1,171.75	$1,754.70	$2,602.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,178.65 / $1,584.09 / $2,849.74	Facility		$1,178.65	$1,584.09	$2,849.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,234.22 / $1,638.76 / $2,731.70	Professional		$1,234.22	$1,638.76	$2,731.70
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.71 / $1,378.73 / $2,130.76	Professional		$1,002.71	$1,378.73	$2,130.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.48 / $1,122.52 / $1,548.95	Professional		$979.48	$1,122.52	$1,548.95