Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,951.21 / $6,918.31	Facility		$776.25	$2,951.21	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $891.25	Professional		$309.03	$478.63	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $398.11	Professional		$288.40	$302.00	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $7,244.36	Facility		$1,995.26	$3,715.35	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $616.60	Professional		$281.84	$407.38	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $323.59	Facility		$79.43	$316.23	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $870.96	Professional		$346.74	$512.86	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
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 $338.84 / $549.54 / $2,570.40	Facility		$338.84	$549.54	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $933.25	Professional		$323.59	$512.86	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $275.42 / $416.87	Professional		$32.36	$275.42	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $912.01	Professional		$363.08	$363.08	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Facility		$331.13	$501.19	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $891.25	Professional		$338.84	$512.86	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $660.69	Professional		$288.40	$407.38	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $524.81	Professional		$501.19	$524.81	$524.81