Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,213.00 / $10,836.00	Facility		$727.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $441.33 / $626.79	Professional		$383.32	$441.33	$626.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $622.41 / $622.41	Professional		$622.41	$622.41	$622.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,098.40 / $3,922.02 / $7,537.78	Facility		$2,098.40	$3,922.02	$7,537.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.99 / $513.88 / $715.95	Professional		$405.99	$513.88	$715.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.38 / $380.38 / $380.38	Facility		$380.38	$380.38	$380.38
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 $440.08 / $589.32 / $917.02	Professional		$440.08	$589.32	$917.02
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 Professional Modifier Low / Median / High Price $4,307.72 / $4,307.72 / $4,307.72	Professional		$4,307.72	$4,307.72	$4,307.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.95 / $550.39 / $1,061.26	Facility		$419.95	$550.39	$1,061.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $554.23 / $652.28 / $767.39	Professional		$554.23	$652.28	$767.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $559.90 / $559.90 / $559.90	Professional		$559.90	$559.90	$559.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.30 / $552.24 / $1,162.50	Facility		$422.30	$552.24	$1,162.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.08 / $613.71 / $948.28	Professional		$440.08	$613.71	$948.28
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 $357.43 / $469.13 / $754.55	Professional		$357.43	$469.13	$754.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $414.21 / $574.42	Professional		$363.86	$414.21	$574.42