Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.02 / $3,504.00 / $12,040.00	Facility		$675.02	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $610.27 / $972.14	Professional		$428.75	$610.27	$972.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $402.07 / $402.07	Professional		$402.07	$402.07	$402.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.44 / $3,057.62 / $6,214.00	Facility		$1,666.44	$3,057.62	$6,214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $563.11 / $899.03	Professional		$391.08	$563.11	$899.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.39 / $362.39 / $617.87	Facility		$362.39	$362.39	$617.87
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 $435.81 / $636.73 / $919.10	Professional		$435.81	$636.73	$919.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,940.42 / $26,542.00 / $26,542.00	Facility		$2,940.42	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.00 / $4,878.83 / $5,039.83	Professional		$3,284.00	$4,878.83	$5,039.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $642.07 / $1,004.47	Facility		$437.82	$642.07	$1,004.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.86 / $682.97 / $989.81	Professional		$456.86	$682.97	$989.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $559.79 / $729.92	Professional		$402.07	$559.79	$729.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $648.87 / $1,050.55	Facility		$437.82	$648.87	$1,050.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.57 / $652.27 / $936.88	Professional		$444.57	$652.27	$936.88
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 $460.85 / $619.29 / $912.21	Professional		$460.85	$619.29	$912.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.92 / $559.79 / $789.82	Professional		$496.92	$559.79	$789.82