Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,467.37 / $11,748.98	Facility		$707.95	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $363.08	Professional		$147.91	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $8,709.64	Facility		$2,570.40	$4,466.84	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $295.12	Professional		$154.88	$213.80	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $158.49	Facility		$79.43	$154.88	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $416.87	Professional		$173.78	$251.19	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional		$1,698.24	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $2,630.27	Facility		$165.96	$257.04	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $436.52	Professional		$151.36	$229.09	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $199.53	Professional		$32.36	$138.04	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $398.11 / $912.01	Professional		$177.83	$398.11	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $398.11	Facility		$165.96	$239.88	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $416.87	Professional		$162.18	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $302.00	Professional		$138.04	$190.55	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $251.19	Professional		$239.88	$251.19	$251.19