Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.32 / $2,269.04 / $7,513.00	Facility		$511.32	$2,269.04	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $436.10 / $2,708.33	Professional		$178.22	$436.10	$2,708.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $309.89 / $359.47	Professional		$309.89	$309.89	$359.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,135.32 / $9,280.69 / $18,808.88	Facility		$5,135.32	$9,280.69	$18,808.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $585.17 / $2,761.76	Professional		$297.02	$585.17	$2,761.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $289.05 / $292.06	Facility		$80.00	$289.05	$292.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $555.57 / $555.57	Facility		$555.57	$555.57	$555.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $434.00 / $2,826.59	Professional		$216.00	$434.00	$2,826.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,747.25 / $15,000.00	Facility		$55.00	$3,747.25	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,619.80 / $14,708.64 / $17,318.93	Professional		$7,619.80	$14,708.64	$17,318.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.33 / $320.79 / $2,600.48	Facility		$173.33	$320.79	$2,600.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.52 / $2,331.94 / $3,697.72	Professional		$412.52	$2,331.94	$3,697.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $201.10 / $201.10	Professional		$201.10	$201.10	$201.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $321.18 / $2,605.59	Facility		$174.00	$321.18	$2,605.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $474.71 / $3,180.87	Professional		$228.43	$474.71	$3,180.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $50,448.00	Facility		$2,605.00	$7,333.00	$50,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $1,441.33 / $2,690.48	Professional		$182.90	$1,441.33	$2,690.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,696.72 / $1,888.70 / $2,700.04	Professional		$1,696.72	$1,888.70	$2,700.04