Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,511.89 / $6,918.31	Facility		$371.54	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $338.84	Professional		$81.28	$151.36	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $288.40	Professional		$87.10	$114.82	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $1,096.48	Facility		$269.15	$524.81	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $263.03	Professional		$85.11	$154.88	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $91.20 / $204.17	Facility		$89.13	$91.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $302.00	Professional		$107.15	$186.21	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $229.09 / $3,630.78	Facility		$91.20	$229.09	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $389.05	Professional		$87.10	$162.18	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $446.68	Professional		$102.33	$213.80	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $309.03	Facility		$89.13	$173.78	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $316.23	Professional		$107.15	$186.21	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $257.04	Professional		$85.11	$147.91	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17