Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,833.94 / $10,234.00	Facility		$921.00	$3,833.94	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.15 / $580.24 / $941.12	Professional		$501.15	$580.24	$941.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $684.15 / $684.15 / $684.15	Professional		$684.15	$684.15	$684.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,098.40 / $3,922.02 / $7,494.30	Facility		$2,098.40	$3,922.02	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.55 / $687.64 / $937.04	Professional		$539.55	$687.64	$937.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $532.03 / $3,084.26 / $3,084.26	Facility		$532.03	$3,084.26	$3,084.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.07 / $739.20 / $1,143.69	Professional		$560.07	$739.20	$1,143.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $26,542.00 / $26,542.00	Facility		$9,496.40	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.01 / $900.13 / $900.13	Facility	AS	$134.01	$900.13	$900.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,240.88 / $4,381.43 / $4,984.58	Professional		$4,240.88	$4,381.43	$4,984.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $544.55 / $685.20 / $1,196.91	Facility		$544.55	$685.20	$1,196.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.98 / $877.96 / $1,032.89	Professional		$745.98	$877.96	$1,032.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $714.80 / $714.80	Professional		$714.80	$714.80	$714.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.55 / $706.83 / $1,441.71	Facility		$544.55	$706.83	$1,441.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.22 / $191.22 / $191.22	Facility	AS	$191.22	$191.22	$191.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.27 / $748.60 / $1,218.75	Professional		$562.27	$748.60	$1,218.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $612.27 / $976.74	Professional		$441.90	$612.27	$976.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $555.21 / $774.20	Professional		$489.75	$555.21	$774.20