Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,553.00 / $12,281.00	Facility		$747.00	$3,553.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $635.00 / $960.17	Professional		$459.98	$635.00	$960.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $593.21 / $593.21 / $593.21	Professional		$593.21	$593.21	$593.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.11 / $217.32 / $836.48	Facility		$127.11	$217.32	$836.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.12 / $659.98 / $913.06	Professional		$524.12	$659.98	$913.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $480.77 / $480.77 / $614.99	Facility		$480.77	$480.77	$614.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.10 / $197.10 / $203.54	Facility		$197.10	$197.10	$203.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.50 / $711.66 / $1,064.53	Professional		$552.50	$711.66	$1,064.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,574.64 / $9,102.00 / $11,500.00	Facility		$4,574.64	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.80 / $4,490.08 / $4,938.75	Professional		$4,168.80	$4,490.08	$4,938.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.82 / $697.33 / $1,055.21	Facility		$529.82	$697.33	$1,055.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $751.44 / $940.87	Professional		$608.79	$751.44	$940.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.23 / $696.65 / $1,158.76	Professional		$539.23	$696.65	$1,158.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.28 / $698.37 / $1,081.55	Facility		$528.28	$698.37	$1,081.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $559.64 / $736.96 / $1,117.29	Professional		$559.64	$736.96	$1,117.29
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.14 / $606.12 / $910.86	Professional		$460.14	$606.12	$910.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.33 / $559.64 / $783.73	Professional		$493.33	$559.64	$783.73