Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.41 / $2,090.00 / $6,762.00	Facility		$454.41	$2,090.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.22 / $429.04 / $597.66	Professional		$302.22	$429.04	$597.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $315.02 / $315.02	Professional		$315.02	$315.02	$315.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.11 / $3,663.85 / $7,443.64	Facility		$1,855.11	$3,663.85	$7,443.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $442.38 / $730.86	Professional		$305.69	$442.38	$730.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.14 / $2,489.61 / $2,489.61	Facility		$292.14	$2,489.61	$2,489.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $514.10 / $840.36	Professional		$345.54	$514.10	$840.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.00 / $12,000.00 / $12,000.00	Facility		$2,253.00	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,370.96 / $3,351.52 / $3,936.68	Professional		$2,370.96	$3,351.52	$3,936.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.61 / $475.49 / $883.71	Facility		$321.61	$475.49	$883.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.88 / $588.71 / $815.13	Professional		$415.88	$588.71	$815.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $371.70 / $371.70	Professional		$371.70	$371.70	$371.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.07 / $478.62 / $950.98	Facility		$322.07	$478.62	$950.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $541.89 / $897.73	Professional		$350.08	$541.89	$897.73
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $2,478.00 / $4,795.00	Facility		$681.00	$2,478.00	$4,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.69 / $498.69 / $787.96	Professional		$374.69	$498.69	$787.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.49 / $434.04 / $613.24	Professional		$386.49	$434.04	$613.24