Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $14,454.40	Facility		$1,096.48	$4,265.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,511.89 / $8,128.31	Professional		$741.31	$2,511.89	$8,128.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,182.57 / $25,703.96	Facility		$7,585.78	$13,182.57	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $4,786.30 / $8,128.31	Professional		$724.44	$4,786.30	$8,128.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,290.87 / $11,220.18	Professional		$812.83	$2,290.87	$11,220.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $50,118.72 / $50,118.72	Facility		$38,904.51	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $45,708.82 / $45,708.82	Professional		$38,904.51	$45,708.82	$45,708.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $10,471.29	Facility		$831.76	$2,691.53	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $5,248.07 / $10,232.93	Professional		$758.58	$5,248.07	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14,454.40 / $17,378.01	Professional		$5.01	$14,454.40	$17,378.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $10,232.93	Facility		$776.25	$1,905.46	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,137.96 / $11,220.18	Professional		$812.83	$2,137.96	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $30,199.52	Facility		$4,570.88	$10,964.78	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $8,912.51	Professional		$707.95	$1,584.89	$8,912.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $5,623.41	Professional		$5,370.32	$5,623.41	$5,623.41