Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,553.00 / $12,281.00	Facility		$921.00	$3,553.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $869.03 / $1,214.38	Professional		$781.61	$869.03	$1,214.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $744.29 / $744.29 / $744.29	Professional		$744.29	$744.29	$744.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.76 / $1,382.10 / $5,456.92	Facility		$832.76	$1,382.10	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.16 / $947.12 / $1,319.55	Professional		$743.16	$947.12	$1,319.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $732.28 / $732.28 / $732.28	Facility		$732.28	$732.28	$732.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.81 / $1,108.96 / $1,716.05	Professional		$843.81	$1,108.96	$1,716.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $6,591.41	Facility		$55.00	$2,000.00	$6,591.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,254.95 / $7,254.95 / $7,254.95	Professional		$7,254.95	$7,254.95	$7,254.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.99 / $1,083.13 / $2,015.00	Facility		$812.99	$1,083.13	$2,015.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.84 / $1,227.34 / $1,443.94	Professional		$1,042.84	$1,227.34	$1,443.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.90 / $1,206.90 / $1,206.90	Professional		$1,206.90	$1,206.90	$1,206.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.99 / $1,084.69 / $2,086.04	Facility		$812.99	$1,084.69	$2,086.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.81 / $1,125.20 / $1,859.91	Professional		$843.81	$1,125.20	$1,859.91
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 $687.14 / $944.82 / $1,460.18	Professional		$687.14	$944.82	$1,460.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.65 / $783.47 / $1,083.00	Professional		$684.65	$783.47	$1,083.00