Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.24 / $2,128.00 / $6,762.00	Facility		$282.24	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $209.90 / $305.97	Professional		$158.94	$209.90	$305.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $157.12 / $157.12	Professional		$157.12	$157.12	$157.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.28 / $2,563.92 / $4,981.81	Facility		$1,501.28	$2,563.92	$4,981.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $217.26 / $341.56	Professional		$157.79	$217.26	$341.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $147.41 / $147.41	Facility		$147.41	$147.41	$147.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.30 / $1,408.30 / $1,408.30	Facility		$1,408.30	$1,408.30	$1,408.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $260.38 / $431.42	Professional		$186.76	$260.38	$431.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.20 / $12,000.00 / $12,000.00	Facility		$888.20	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Professional		$2,321.00	$2,321.00	$2,321.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $247.97 / $481.19	Facility		$173.93	$247.97	$481.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $285.10 / $394.76	Professional		$221.61	$285.10	$394.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.10 / $391.10 / $391.10	Professional		$391.10	$391.10	$391.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $248.94 / $493.48	Facility		$173.93	$248.94	$493.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $269.27 / $464.17	Professional		$190.95	$269.27	$464.17
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $248.91 / $384.68	Professional		$181.02	$248.91	$384.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $211.55 / $297.04	Professional		$187.17	$211.55	$297.04