Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,500.00 / $7,495.00	Facility		$669.00	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $703.67 / $1,077.38	Professional		$473.90	$703.67	$1,077.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $230.02 / $230.02	Professional		$230.02	$230.02	$230.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $701.99 / $2,577.07	Facility		$407.81	$701.99	$2,577.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.11 / $641.70 / $1,026.22	Professional		$451.11	$641.70	$1,026.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $410.71 / $410.71 / $707.00	Facility		$410.71	$410.71	$707.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $532.39 / $549.79	Facility		$532.39	$532.39	$549.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $717.28 / $1,103.40	Professional		$500.79	$717.28	$1,103.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,362.46	Facility		$55.00	$55.00	$3,362.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,576.24 / $4,969.60 / $5,699.85	Professional		$3,576.24	$4,969.60	$5,699.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.04 / $694.47 / $1,067.58	Facility		$460.04	$694.47	$1,067.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.97 / $778.20 / $1,127.83	Professional		$521.97	$778.20	$1,127.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $442.43 / $657.84 / $796.75	Professional		$442.43	$657.84	$796.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.04 / $696.47 / $1,104.25	Facility		$460.04	$696.47	$1,104.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.37 / $747.17 / $1,189.86	Professional		$512.37	$747.17	$1,189.86
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.23 / $719.63 / $1,068.23	Professional		$543.23	$719.63	$1,068.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $566.22 / $638.54 / $900.15	Professional		$566.22	$638.54	$900.15