Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.69 / $3,682.00 / $12,281.00	Facility		$834.69	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.66 / $478.01 / $823.32	Professional		$423.66	$478.01	$823.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $460.34 / $460.34 / $460.34	Professional		$460.34	$460.34	$460.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.38 / $3,922.02 / $7,569.24	Facility		$2,123.38	$3,922.02	$7,569.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $540.21 / $862.71	Professional		$291.39	$540.21	$862.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $468.12 / $1,055.85 / $1,055.85	Facility		$468.12	$1,055.85	$1,055.85
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 $485.27 / $646.64 / $970.24	Professional		$485.27	$646.64	$970.24
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 $3,770.32 / $3,909.60 / $4,655.25	Professional		$3,770.32	$3,909.60	$4,655.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.59 / $610.50 / $1,073.46	Facility		$473.59	$610.50	$1,073.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.80 / $801.25 / $942.64	Professional		$680.80	$801.25	$942.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $423.90 / $423.90	Professional		$423.90	$423.90	$423.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.54 / $614.79 / $1,225.22	Facility		$487.54	$614.79	$1,225.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.54 / $672.50 / $1,007.97	Professional		$499.54	$672.50	$1,007.97
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 $402.15 / $559.98 / $902.50	Professional		$402.15	$559.98	$902.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.95 / $505.87 / $701.78	Professional		$446.95	$505.87	$701.78