Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,884.03 / $6,918.31	Facility		$707.95	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $371.54	Professional		$85.11	$204.17	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $181.97	Professional		$91.20	$162.18	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $2,089.30	Facility		$524.81	$1,000.00	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $380.19	Professional		$89.13	$218.78	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $724.44 / $724.44	Facility		$83.18	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $478.63	Professional		$112.20	$263.03	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $794.33	Facility		$54.95	$56.23	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,047.13 / $5,128.61	Facility		$114.82	$1,047.13	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $446.68	Professional		$89.13	$213.80	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $398.11 / $707.95	Professional		$3.02	$398.11	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $223.87 / $467.74	Facility		$87.10	$223.87	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $478.63	Professional		$112.20	$263.03	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $416.87	Professional		$95.50	$204.17	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $251.19	Professional		$239.88	$251.19	$251.19