Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,480.00	Facility		$895.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $776.37 / $1,063.76	Professional		$638.16	$776.37	$1,063.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $550.91 / $606.00	Professional		$275.45	$550.91	$606.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,783.08 / $4,909.47 / $9,443.71	Facility		$2,783.08	$4,909.47	$9,443.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $746.02 / $1,046.40	Professional		$602.53	$746.02	$1,046.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $503.38 / $644.62 / $644.62	Facility		$503.38	$644.62	$644.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,493.22 / $4,641.50 / $4,877.33	Professional		$4,493.22	$4,641.50	$4,877.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.35 / $900.87 / $1,356.24	Facility		$583.35	$900.87	$1,356.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $740.94 / $1,025.91	Professional		$550.91	$740.94	$1,025.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $179.65 / $2,334.31 / $3,050.00	Facility		$179.65	$2,334.31	$3,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.58 / $583.07 / $986.80	Professional		$539.58	$583.07	$986.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.71 / $921.81 / $1,489.94	Facility		$586.71	$921.81	$1,489.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $877.46 / $1,276.22	Professional		$550.91	$877.46	$1,276.22
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 $543.94 / $747.92 / $1,137.64	Professional		$543.94	$747.92	$1,137.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.44 / $550.91 / $772.92	Professional		$486.44	$550.91	$772.92