Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,071.52	Professional		$537.03	$630.96	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $18,197.01	Facility		$4,265.80	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $933.25	Professional		$549.54	$707.95	$933.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $549.54 / $562.34	Facility		$79.43	$549.54	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,258.93	Professional		$588.84	$812.83	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $5,128.61	Professional		$4,570.88	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $3,890.45	Facility		$588.84	$851.14	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,047.13	Professional		$537.03	$758.58	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,122.02	Professional		$851.14	$851.14	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $1,288.25	Facility		$575.44	$794.33	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,258.93	Professional		$549.54	$794.33	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $977.24	Professional		$478.63	$645.65	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $588.84	Professional		$549.54	$588.84	$588.84