Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,107.00 / $7,316.00	Facility		$494.00	$2,107.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $490.59 / $735.63	Professional		$356.10	$490.59	$735.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $442.86 / $442.86 / $442.86	Professional		$442.86	$442.86	$442.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $389.33 / $1,567.58	Facility		$228.77	$389.33	$1,567.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.44 / $486.61 / $708.68	Professional		$386.44	$486.61	$708.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $358.43 / $427.82 / $467.70	Facility		$358.43	$427.82	$467.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.29 / $333.29 / $344.18	Facility		$333.29	$333.29	$344.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.97 / $545.60 / $831.23	Professional		$417.97	$545.60	$831.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,381.70 / $9,102.00 / $11,500.00	Facility		$3,381.70	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,078.08 / $3,497.63 / $3,930.38	Professional		$3,078.08	$3,497.63	$3,930.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.78 / $525.32 / $808.50	Facility		$403.78	$525.32	$808.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $450.10 / $596.27 / $779.74	Professional		$450.10	$596.27	$779.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $465.38 / $547.07	Professional		$386.22	$465.38	$547.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.58 / $525.32 / $833.92	Facility		$402.58	$525.32	$833.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.67 / $563.01 / $866.48	Professional		$423.67	$563.01	$866.48
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.79 / $480.85 / $717.74	Professional		$366.79	$480.85	$717.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $442.86 / $622.04	Professional		$391.46	$442.86	$622.04