Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $7,943.28	Facility		$851.14	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,412.54	Professional		$660.69	$851.14	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,332.54 / $17,782.79	Facility		$3,981.07	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $870.96	Facility		$79.43	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,659.59	Professional		$741.31	$1,023.29	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $28,840.32 / $28,840.32	Facility		$19,952.62	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,715.35	Facility		$741.31	$1,071.52	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,621.81	Professional		$691.83	$1,148.15	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,548.82	Professional		$831.76	$831.76	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Facility		$741.31	$977.24	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,659.59	Professional		$691.83	$1,047.13	$1,659.59
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 $575.44 / $794.33 / $1,230.27	Professional		$575.44	$794.33	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25