Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,570.00 / $10,893.00	Facility		$872.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.61 / $673.65 / $1,002.04	Professional		$617.61	$673.65	$1,002.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $576.92 / $576.92 / $607.29	Professional		$576.92	$576.92	$607.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,625.28 / $7,250.57 / $14,139.34	Facility		$3,625.28	$7,250.57	$14,139.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.90 / $734.01 / $1,022.64	Professional		$579.90	$734.01	$1,022.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $569.65 / $569.65 / $569.65	Facility		$569.65	$569.65	$569.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.65 / $856.60 / $1,329.72	Professional		$654.65	$856.60	$1,329.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,986.00 / $18,994.34 / $18,994.34	Professional		$8,986.00	$18,994.34	$18,994.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.97 / $838.18 / $1,407.34	Facility		$629.97	$838.18	$1,407.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $809.06 / $952.20 / $1,120.23	Professional		$809.06	$952.20	$1,120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $909.70 / $909.70 / $909.70	Professional		$909.70	$909.70	$909.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.97 / $844.74 / $1,616.66	Facility		$629.97	$844.74	$1,616.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.65 / $868.59 / $1,411.64	Professional		$654.65	$868.59	$1,411.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.25 / $729.27 / $1,127.05	Professional		$540.25	$729.27	$1,127.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $607.29 / $840.32	Professional		$531.16	$607.29	$840.32