Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,236.00 / $7,513.00	Facility		$632.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.62 / $657.72 / $998.45	Professional		$470.62	$657.72	$998.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $559.04 / $559.04	Professional		$559.04	$559.04	$559.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,844.25 / $3,234.98 / $6,207.11	Facility		$1,844.25	$3,234.98	$6,207.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $676.38 / $948.72	Professional		$546.29	$676.38	$948.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $511.20 / $533.90	Facility		$511.20	$511.20	$533.90
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 $562.35 / $740.39 / $1,085.03	Professional		$562.35	$740.39	$1,085.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $12,000.00 / $12,000.00	Facility		$6,887.55	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,346.72 / $4,503.84 / $4,949.33	Professional		$4,346.72	$4,503.84	$4,949.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.11 / $710.16 / $1,027.75	Facility		$569.11	$710.16	$1,027.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $751.87 / $1,041.05	Professional		$559.04	$751.87	$1,041.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.00 / $698.00 / $698.00	Professional		$698.00	$698.00	$698.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $723.70 / $1,141.43	Facility		$569.29	$723.70	$1,141.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.49 / $761.42 / $1,131.57	Professional		$560.49	$761.42	$1,131.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,217.00 / $7,600.00	Facility		$1,120.00	$3,217.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $601.49 / $881.87	Professional		$448.15	$601.49	$881.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $559.04 / $784.31	Professional		$493.61	$559.04	$784.31