Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.50 / $2,550.00 / $7,495.00	Facility		$542.50	$2,550.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.07 / $404.66 / $610.34	Professional		$306.07	$404.66	$610.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $359.66 / $381.24	Professional		$164.40	$359.66	$381.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.46 / $816.16 / $1,718.49	Facility		$468.46	$816.16	$1,718.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.73 / $405.96 / $587.79	Professional		$320.73	$405.96	$587.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.39 / $298.39 / $395.69	Facility		$298.39	$298.39	$395.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $362.56 / $374.41	Facility		$362.56	$362.56	$374.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $452.15 / $698.86	Professional		$340.92	$452.15	$698.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,807.35 / $16,394.00 / $16,394.00	Facility		$2,807.35	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.84 / $2,896.48 / $3,187.95	Professional		$2,555.84	$2,896.48	$3,187.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $428.92 / $771.17	Facility		$335.98	$428.92	$771.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.60 / $509.46 / $632.92	Professional		$373.60	$509.46	$632.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $369.60 / $369.60	Professional		$369.60	$369.60	$369.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $430.12 / $797.76	Facility		$335.98	$430.12	$797.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.60 / $466.34 / $719.32	Professional		$350.60	$466.34	$719.32
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 $300.29 / $399.15 / $616.25	Professional		$300.29	$399.15	$616.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $359.66 / $504.93	Professional		$317.76	$359.66	$504.93