Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $870.96 / $2,691.53	Facility		$354.81	$870.96	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $660.69	Professional		$354.81	$457.09	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $3,090.30	Facility		$602.56	$1,445.44	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $2,630.27	Facility		$389.05	$1,071.52	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $870.96	Professional		$288.40	$724.44	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $1,174.90	Facility		$457.09	$616.60	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $741.31	Professional		$354.81	$478.63	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,288.25	Professional		$575.44	$645.65	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $1,737.80	Facility		$426.58	$630.96	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $1,047.13	Professional		$288.40	$630.96	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $602.56	Facility		$213.80	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $407.38	Professional		$251.19	$251.19	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $602.56	Professional		$234.42	$602.56	$602.56