Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,124.00 / $7,513.00	Facility		$488.00	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $910.51 / $1,650.54	Professional		$147.60	$910.51	$1,650.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,011.17 / $1,011.17 / $1,011.17	Professional		$1,011.17	$1,011.17	$1,011.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.11 / $4,690.59 / $9,297.45	Facility		$2,439.11	$4,690.59	$9,297.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $589.27 / $1,455.64	Professional		$133.35	$589.27	$1,455.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $83.62 / $1,141.30	Facility		$83.62	$83.62	$1,141.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $1,093.76 / $1,944.08	Professional		$128.75	$1,093.76	$1,944.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $833.35	Facility		$55.00	$55.00	$833.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,172.53 / $7,886.96 / $9,303.98	Professional		$4,172.53	$7,886.96	$9,303.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.01 / $902.47 / $1,807.86	Facility		$109.01	$902.47	$1,807.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $1,173.47 / $1,813.54	Professional		$111.01	$1,173.47	$1,813.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $960.61 / $1,833.90	Professional		$93.51	$960.61	$1,833.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.01 / $859.49 / $1,824.61	Facility		$109.01	$859.49	$1,824.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $1,126.21 / $2,022.35	Professional		$134.96	$1,126.21	$2,022.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.40 / $1,242.56 / $1,926.80	Professional		$963.40	$1,242.56	$1,926.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $910.47 / $1,011.17 / $1,449.70	Professional		$910.47	$1,011.17	$1,449.70