Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.77 / $2,020.00 / $6,762.00	Facility		$629.77	$2,020.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $762.12 / $1,160.84	Professional		$553.50	$762.12	$1,160.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $316.51 / $586.12	Professional		$316.51	$316.51	$586.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,779.24 / $3,214.76 / $6,126.24	Facility		$1,779.24	$3,214.76	$6,126.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.55 / $726.27 / $1,047.53	Professional		$574.55	$726.27	$1,047.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $527.69 / $527.69 / $752.94	Facility		$527.69	$527.69	$752.94
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 $622.24 / $831.43 / $1,261.00	Professional		$622.24	$831.43	$1,261.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,002.89 / $12,000.00 / $12,000.00	Facility		$5,002.89	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,556.39 / $5,516.40 / $6,062.55	Professional		$4,556.39	$5,516.40	$6,062.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.40 / $830.11 / $1,213.72	Facility		$629.40	$830.11	$1,213.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $665.72 / $919.65 / $1,202.60	Professional		$665.72	$919.65	$1,202.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $958.80 / $958.80 / $958.80	Professional		$958.80	$958.80	$958.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.40 / $841.22 / $1,316.54	Facility		$629.40	$841.22	$1,316.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.72 / $851.02 / $1,297.93	Professional		$636.72	$851.02	$1,297.93
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 $563.57 / $744.95 / $1,109.50	Professional		$563.57	$744.95	$1,109.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $603.76 / $682.71 / $959.54	Professional		$603.76	$682.71	$959.54