Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.51 / $3,445.00 / $10,234.00	Facility		$876.51	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.27 / $906.28 / $1,388.40	Professional		$663.27	$906.28	$1,388.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $822.49 / $838.45 / $871.83	Professional		$822.49	$838.45	$871.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.56 / $771.75 / $3,025.58	Facility		$452.56	$771.75	$3,025.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.26 / $931.92 / $1,324.64	Professional		$736.26	$931.92	$1,324.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $682.29 / $904.96	Facility		$682.29	$682.29	$904.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.04 / $608.04 / $627.91	Facility		$608.04	$608.04	$627.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.47 / $1,037.09 / $1,544.73	Professional		$782.47	$1,037.09	$1,544.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $6,441.12	Facility		$55.00	$5,897.00	$6,441.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,864.00 / $6,722.39 / $7,289.10	Professional		$5,864.00	$6,722.39	$7,289.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.49 / $1,023.44 / $1,692.74	Facility		$790.49	$1,023.44	$1,692.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.15 / $1,106.77 / $1,532.45	Professional		$857.15	$1,106.77	$1,532.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $787.20 / $986.99 / $1,604.16	Professional		$787.20	$986.99	$1,604.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.64 / $1,026.33 / $1,757.76	Facility		$782.64	$1,026.33	$1,757.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.72 / $1,058.77 / $1,641.72	Professional		$795.72	$1,058.77	$1,641.72
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 $678.17 / $885.67 / $1,283.19	Professional		$678.17	$885.67	$1,283.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.61 / $822.49 / $1,154.63	Professional		$726.61	$822.49	$1,154.63