Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.88 / $2,572.00 / $7,495.00	Facility		$594.88	$2,572.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.65 / $523.94 / $838.70	Professional		$361.65	$523.94	$838.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $382.94 / $493.35	Professional		$354.58	$382.94	$493.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,644.92 / $3,017.00 / $5,844.30	Facility		$1,644.92	$3,017.00	$5,844.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.22 / $496.59 / $787.20	Professional		$346.22	$496.59	$787.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $325.93 / $325.93 / $546.29	Facility		$325.93	$325.93	$546.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.57 / $539.19 / $793.26	Professional		$379.57	$539.19	$793.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,601.23 / $16,394.00 / $16,394.00	Facility		$2,601.23	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,757.52 / $3,840.72 / $4,428.38	Professional		$2,757.52	$3,840.72	$4,428.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.28 / $539.40 / $817.33	Facility		$361.28	$539.40	$817.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.84 / $602.91 / $873.78	Professional		$403.84	$602.91	$873.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $1,453.03 / $2,827.00	Facility		$166.51	$1,453.03	$2,827.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.77 / $508.15 / $582.66	Professional		$343.77	$508.15	$582.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.28 / $542.24 / $908.23	Facility		$361.28	$542.24	$908.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $554.64 / $803.47	Professional		$387.03	$554.64	$803.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $541.70 / $783.46	Professional		$406.28	$541.70	$783.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $493.35 / $697.57	Professional		$438.68	$493.35	$697.57