Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.64 / $882.00 / $2,474.64	Facility		$332.64	$882.00	$2,474.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.24 / $372.96 / $604.79	Professional		$282.24	$372.96	$604.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $315.00	Professional		$315.00	$315.00	$315.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $1,229.76 / $2,605.67	Facility		$10.73	$1,229.76	$2,605.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $235.62 / $344.28	Professional		$5.00	$235.62	$344.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $946.76 / $2,177.62	Facility		$327.60	$946.76	$2,177.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $380.99 / $777.72	Professional		$252.00	$380.99	$777.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $806.40 / $2,394.00 / $2,394.00	Facility		$806.40	$2,394.00	$2,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,520.00 / $3,780.00	Professional		$2,520.00	$2,520.00	$3,780.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $504.00 / $604.79	Facility		$302.39	$504.00	$604.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Professional		$504.00	$504.00	$504.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $604.79 / $1,134.00	Professional		$327.60	$604.79	$1,134.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $504.00 / $923.83	Facility		$302.39	$504.00	$923.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $481.18 / $777.72	Professional		$257.13	$481.18	$777.72
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $310.45	Professional		$211.68	$211.68	$310.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $201.60 / $504.00	Professional		$196.56	$201.60	$504.00