Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $11,748.98	Facility		$812.83	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $831.76	Professional		$398.11	$478.63	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,995.26	Facility		$501.19	$851.14	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $741.31	Professional		$446.68	$549.54	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $446.68 / $457.09	Facility		$79.43	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $954.99	Professional		$446.68	$602.56	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $45,708.82 / $45,708.82	Facility		$3,890.45	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,168.69	Professional		$3,467.37	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $3,890.45	Facility		$457.09	$660.69	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $851.14	Professional		$416.87	$602.56	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $954.99	Facility		$446.68	$588.84	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $954.99	Professional		$436.52	$602.56	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Professional		$363.08	$489.78	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63