Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.82 / $2,500.00 / $7,367.52	Facility		$420.82	$2,500.00	$7,367.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $345.40 / $511.98	Professional		$271.75	$345.40	$511.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.33 / $342.95 / $388.41	Professional		$331.33	$342.95	$388.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,987.00 / $3,640.66 / $7,003.05	Facility		$1,987.00	$3,640.66	$7,003.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $367.06 / $531.90	Professional		$289.64	$367.06	$531.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $276.45 / $276.45 / $387.00	Facility		$276.45	$276.45	$387.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.94 / $424.08 / $637.52	Professional		$321.94	$424.08	$637.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,194.80 / $16,394.00 / $16,394.00	Facility		$2,194.80	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.19 / $2,796.00 / $3,257.03	Professional		$2,321.19	$2,796.00	$3,257.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $388.41 / $558.71	Facility		$299.30	$388.41	$558.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.51 / $527.11 / $700.31	Professional		$376.51	$527.11	$700.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $375.45 / $470.26	Professional		$286.30	$375.45	$470.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $388.62 / $568.24	Facility		$299.30	$388.62	$568.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.48 / $441.23 / $703.83	Professional		$332.48	$441.23	$703.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $4,063.00 / $8,759.00	Facility		$1,273.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $402.04 / $595.61	Professional		$301.52	$402.04	$595.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $364.10 / $508.77	Professional		$321.33	$364.10	$508.77