Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,570.00 / $11,232.00	Facility		$951.00	$3,570.00	$11,232.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $636.83 / $685.61 / $919.08	Facility	54	$636.83	$685.61	$919.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $888.43 / $1,337.84	Professional		$616.03	$888.43	$1,337.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $765.90 / $811.86	Professional		$765.90	$765.90	$811.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,194.54 / $6,454.00	Facility		$1,799.46	$3,194.54	$6,454.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.29 / $921.19 / $1,311.85	Professional		$742.29	$921.19	$1,311.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $1,694.83 / $1,694.83	Facility		$710.33	$1,694.83	$1,694.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.26 / $996.13 / $1,383.10	Professional		$768.26	$996.13	$1,383.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,331.47 / $4,569.92 / $4,569.92	Facility	54	$1,331.47	$4,569.92	$4,569.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,956.48 / $6,198.56 / $6,805.28	Professional		$5,956.48	$6,198.56	$6,805.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.30 / $942.77 / $1,457.66	Facility		$758.30	$942.77	$1,457.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,031.91 / $1,428.80	Professional		$765.90	$1,031.91	$1,428.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $752.11 / $827.32 / $1,831.18	Professional		$752.11	$827.32	$1,831.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.69 / $970.43 / $1,565.86	Facility		$759.69	$970.43	$1,565.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,021.03 / $1,531.80	Professional		$765.90	$1,021.03	$1,531.80
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 $597.24 / $808.66 / $1,195.41	Professional		$597.24	$808.66	$1,195.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.47 / $765.90 / $1,076.65	Professional		$677.47	$765.90	$1,076.65