Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.86 / $3,504.00 / $11,232.00	Facility		$649.86	$3,504.00	$11,232.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,127.10 / $5,554.80 / $5,554.80	Facility	50	$3,127.10	$5,554.80	$5,554.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $554.24 / $824.82	Professional		$397.75	$554.24	$824.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $593.60 / $593.60 / $593.60	Professional	50	$593.60	$593.60	$593.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $402.38 / $402.38	Professional		$402.38	$402.38	$402.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,653.78 / $2,999.56 / $6,131.00	Facility		$1,653.78	$2,999.56	$6,131.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.87 / $516.32 / $797.62	Professional		$393.87	$516.32	$797.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $365.94 / $365.94 / $553.32	Facility		$365.94	$365.94	$553.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.05 / $585.66 / $840.31	Professional		$426.05	$585.66	$840.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,946.96 / $26,542.00 / $26,542.00	Facility		$2,946.96	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,606.00 / $5,606.00 / $5,606.00	Professional		$5,606.00	$5,606.00	$5,606.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.62 / $595.83 / $983.73	Facility		$432.62	$595.83	$983.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.58 / $648.95 / $882.57	Professional		$457.58	$648.95	$882.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $524.29 / $650.98	Professional		$404.00	$524.29	$650.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.62 / $599.98 / $1,031.98	Facility		$432.62	$599.98	$1,031.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.05 / $595.45 / $876.17	Professional		$426.05	$595.45	$876.17
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 $393.84 / $521.79 / $791.18	Professional		$393.84	$521.79	$791.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.09 / $499.89 / $704.32	Professional		$443.09	$499.89	$704.32