Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $602.56	Professional		$309.03	$363.08	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $4,265.80	Facility		$1,174.90	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $575.44	Professional		$338.84	$426.58	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $354.81 / $354.81	Facility		$79.43	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $707.95	Professional		$338.84	$446.68	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,786.30	Facility		$54.95	$56.23	$4,786.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $3,467.37	Facility		$338.84	$478.63	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $676.08	Professional		$316.23	$467.74	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Professional		$331.13	$331.13	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $724.44	Facility		$316.23	$426.58	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $724.44	Professional		$316.23	$446.68	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $537.03	Professional		$263.03	$354.81	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Professional		$346.74	$371.54	$371.54