Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.29 / $695.20 / $1,077.61	Professional		$543.29	$695.20	$1,077.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.02 / $602.02 / $602.02	Professional		$602.02	$602.02	$602.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.46 / $4,878.21 / $10,166.92	Facility		$2,595.46	$4,878.21	$10,166.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.91 / $718.01 / $983.40	Professional		$579.91	$718.01	$983.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $541.25 / $541.25 / $565.41	Facility		$541.25	$541.25	$565.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.83 / $788.97 / $1,202.40	Professional		$602.83	$788.97	$1,202.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,679.35 / $4,808.32 / $5,305.13	Professional		$4,679.35	$4,808.32	$5,305.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.37 / $751.64 / $1,141.80	Facility		$602.37	$751.64	$1,141.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.02 / $932.07 / $5,306.00	Professional		$602.02	$932.07	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.25 / $645.90 / $1,274.10	Professional		$538.25	$645.90	$1,274.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.37 / $761.90 / $1,285.33	Facility		$602.37	$761.90	$1,285.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.83 / $825.39 / $1,228.31	Professional		$602.83	$825.39	$1,228.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.88 / $659.72 / $985.52	Professional		$497.88	$659.72	$985.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $530.33 / $602.02 / $842.47	Professional		$530.33	$602.02	$842.47