Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.60 / $1,366.56 / $3,829.80	Facility		$522.60	$1,366.56	$3,829.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.80 / $577.20 / $936.00	Professional		$436.80	$577.20	$936.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $2,402.40 / $4,204.20	Facility		$858.00	$2,402.40	$4,204.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $413.40 / $780.00	Professional		$5.00	$413.40	$780.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $772.20 / $780.00	Facility		$772.20	$772.20	$780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.44 / $1,409.46 / $3,321.82	Facility		$263.44	$1,409.46	$3,321.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.26 / $741.08 / $1,228.05	Professional		$395.26	$741.08	$1,228.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $3,705.00 / $3,705.00	Facility		$1,248.00	$3,705.00	$3,705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,900.00 / $3,900.00 / $5,850.00	Professional		$3,900.00	$3,900.00	$5,850.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $780.00 / $1,248.00	Facility		$491.40	$780.00	$1,248.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $780.00 / $975.00	Professional		$741.00	$780.00	$975.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $936.00 / $1,755.00	Professional		$507.00	$936.00	$1,755.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.64 / $847.70 / $2,546.39	Facility		$458.64	$847.70	$2,546.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $897.00 / $1,203.97	Professional		$397.75	$897.00	$1,203.97
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $480.48	Professional		$327.60	$327.60	$480.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $780.00 / $1,053.00	Professional		$304.20	$780.00	$1,053.00