Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.02 / $1,569.75 / $4,404.27	Facility		$592.02	$1,569.75	$4,404.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.32 / $663.78 / $1,076.40	Professional		$502.32	$663.78	$1,076.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $448.50 / $448.50	Professional		$448.50	$448.50	$448.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $419.35 / $1,255.80	Professional		$5.00	$419.35	$1,255.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $897.00 / $897.00	Facility		$897.00	$897.00	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $1,284.94 / $3,819.63	Facility		$179.46	$1,284.94	$3,819.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.83 / $728.96 / $1,384.51	Professional		$454.83	$728.96	$1,384.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.20 / $4,260.75 / $4,260.75	Facility		$1,435.20	$4,260.75	$4,260.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,485.00 / $4,485.00 / $6,727.50	Professional		$4,485.00	$4,485.00	$6,727.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.20 / $897.00 / $1,076.40	Facility		$538.20	$897.00	$1,076.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $897.00	Professional		$897.00	$897.00	$897.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $1,076.40 / $2,018.25	Professional		$583.04	$1,076.40	$2,018.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $897.00 / $1,569.75	Facility		$448.50	$897.00	$1,569.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.38 / $897.00 / $1,384.51	Professional		$457.38	$897.00	$1,384.51
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $574.08	Professional		$376.74	$376.74	$574.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $358.80 / $897.00	Professional		$349.83	$358.80	$897.00