Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $478.63 / $977.24	Professional		$77.62	$478.63	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,890.45	Facility		$1,023.29	$1,445.44	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $398.11 / $831.76	Professional		$81.28	$398.11	$831.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $575.44 / $1,318.26	Professional		$100.00	$575.44	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,778.28	Facility		$54.95	$56.23	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,047.13 / $4,677.35	Facility		$97.72	$1,047.13	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $489.78 / $1,023.29	Professional		$79.43	$489.78	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $512.86 / $1,148.15	Professional		$81.28	$512.86	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $467.74 / $1,174.90	Facility		$79.43	$467.74	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $562.34 / $1,318.26	Professional		$100.00	$562.34	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $371.54 / $1,202.26	Professional		$85.11	$371.54	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $549.54	Professional		$524.81	$549.54	$549.54