Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.55 / $694.10 / $1,149.49	Professional		$593.55	$694.10	$1,149.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $654.50 / $654.50	Professional		$654.50	$654.50	$654.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,325.17 / $8,568.21	Facility		$2,463.69	$4,325.17	$8,568.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.99 / $813.87 / $1,109.05	Professional		$642.99	$813.87	$1,109.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $642.37 / $652.40	Facility		$80.00	$642.37	$652.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $797.54 / $797.54	Facility		$797.54	$797.54	$797.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.05 / $941.19 / $1,418.75	Professional		$706.05	$941.19	$1,418.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.60 / $11,500.00 / $26,542.00	Facility		$2,633.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,087.68 / $5,185.35 / $6,063.15	Professional		$5,087.68	$5,185.35	$6,063.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.24 / $816.45 / $1,310.66	Facility		$653.24	$816.45	$1,310.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $866.89 / $1,040.27 / $1,289.93	Professional		$866.89	$1,040.27	$1,289.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.30 / $739.30 / $739.30	Professional		$739.30	$739.30	$739.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.24 / $826.26 / $1,396.75	Facility		$653.24	$826.26	$1,396.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.28 / $960.31 / $1,439.54	Professional		$713.28	$960.31	$1,439.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.70 / $751.10 / $1,183.16	Professional		$542.70	$751.10	$1,183.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $591.89 / $671.28 / $933.58	Professional		$591.89	$671.28	$933.58