Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,119.59 / $2,922.96	Facility		$444.00	$1,119.59	$2,922.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $444.00 / $741.74	Professional		$336.00	$444.00	$741.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.52 / $1,758.00 / $3,138.00	Facility		$702.52	$1,758.00	$3,138.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $330.00 / $588.00	Professional		$5.00	$330.00	$588.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $443.03 / $443.03 / $600.00	Facility		$443.03	$443.03	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.97 / $1,318.20 / $2,656.40	Facility		$397.97	$1,318.20	$2,656.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $477.73 / $1,022.11	Professional		$302.56	$477.73	$1,022.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.08 / $2,850.00 / $2,850.00	Facility		$1,197.08	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $4,500.00	Professional		$3,000.00	$3,000.00	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $600.00 / $900.00	Facility		$366.00	$600.00	$900.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $750.00	Professional		$600.00	$600.00	$750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $720.00 / $1,350.00	Professional		$390.00	$720.00	$1,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.55 / $707.06 / $2,324.81	Facility		$407.55	$707.06	$2,324.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $690.00 / $1,022.11	Professional		$305.32	$690.00	$1,022.11
United Facility/Professional Facility Modifier Low / Median / High Price $252.29 / $600.00 / $720.00	Facility		$252.29	$600.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $252.29 / $426.32	Professional		$251.92	$252.29	$426.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $310.80 / $600.00	Professional		$240.00	$310.80	$600.00