Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $6,918.31	Facility		$630.96	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,000.00	Professional		$288.40	$446.68	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $676.08	Professional		$295.12	$380.19	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,265.80	Facility		$1,288.25	$2,137.96	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $562.34	Professional		$288.40	$398.11	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,513.56 / $1,513.56	Facility		$288.40	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $794.33	Professional		$323.59	$478.63	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $3,715.35	Professional		$3,090.30	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $2,818.38	Facility		$309.03	$512.86	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $851.14	Professional		$302.00	$467.74	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $371.54	Professional		$32.36	$251.19	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $831.76	Professional		$389.05	$389.05	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $467.74 / $794.33	Facility		$309.03	$467.74	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $812.83	Professional		$316.23	$489.78	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $616.60	Professional		$269.15	$380.19	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $467.74	Professional		$446.68	$467.74	$467.74