Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $6,918.31	Facility		$537.03	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $537.03	Professional		$245.47	$302.00	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $549.54	Professional		$302.00	$302.00	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $724.44	Facility		$208.93	$354.81	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $457.09	Professional		$257.04	$323.59	$457.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $275.42	Facility		$208.93	$208.93	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $588.84	Professional		$275.42	$371.54	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	54	$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $1,995.26	Facility		$269.15	$380.19	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $602.56	Professional		$251.19	$380.19	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $229.09 / $275.42	Professional		$32.36	$229.09	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Facility		$257.04	$354.81	$602.56
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	54	$323.59	$323.59	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $588.84	Professional		$269.15	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $446.68	Professional		$218.78	$288.40	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $338.84	Professional		$323.59	$338.84	$338.84