Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $7,943.28	Facility		$616.60	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $812.83	Professional		$309.03	$457.09	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $4,677.35	Facility		$1,318.26	$2,290.87	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $588.84	Professional		$275.42	$416.87	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,137.96 / $2,137.96	Facility		$323.59	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $891.25	Professional		$363.08	$524.81	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $4,466.84	Facility		$346.74	$691.83	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $954.99	Professional		$323.59	$501.19	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,258.93	Professional		$602.56	$977.24	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $891.25	Facility		$338.84	$512.86	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $891.25	Professional		$354.81	$537.03	$891.25
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 $302.00 / $436.52 / $707.95	Professional		$302.00	$436.52	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81