Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.13 / $2,362.83 / $6,629.43	Facility		$891.13	$2,362.83	$6,629.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.11 / $999.14 / $1,620.23	Professional		$756.11	$999.14	$1,620.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $843.87 / $843.87 / $843.87	Professional		$843.87	$843.87	$843.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $3,334.97 / $7,007.49	Facility		$10.50	$3,334.97	$7,007.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $631.21 / $922.31	Professional		$5.00	$631.21	$922.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $1,350.19 / $1,350.19	Facility		$224.24	$1,350.19	$1,350.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $2,536.32 / $5,835.86	Facility		$877.62	$2,536.32	$5,835.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.09 / $856.87 / $2,049.34	Professional		$648.09	$856.87	$2,049.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.30 / $6,413.40 / $6,413.40	Facility		$2,160.30	$6,413.40	$6,413.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,750.95 / $6,750.95 / $10,126.43	Professional		$6,750.95	$6,750.95	$10,126.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,350.19 / $1,620.23	Facility		$810.11	$1,350.19	$1,620.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,350.19	Professional		$1,350.19	$1,350.19	$1,350.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $1,620.23 / $3,037.93	Professional		$877.62	$1,620.23	$3,037.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,350.19 / $2,474.89	Facility		$810.11	$1,350.19	$2,474.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.56 / $1,350.19 / $2,049.34	Professional		$688.56	$1,350.19	$2,049.34
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $567.08 / $810.11	Professional		$567.08	$567.08	$810.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.57 / $540.08 / $1,350.19	Professional		$526.57	$540.08	$1,350.19