Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,548.13 / $12,022.64	Facility		$891.25	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,479.11	Professional		$741.31	$870.96	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,709.64	Facility		$2,570.40	$4,365.16	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,318.26	Professional		$776.25	$977.24	$1,318.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $794.33 / $794.33	Facility		$79.43	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $7,244.36	Professional		$6,025.60	$7,244.36	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $3,890.45	Facility		$812.83	$1,122.02	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,513.56	Professional		$741.31	$1,071.52	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Professional		$1,047.13	$1,047.13	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,737.80	Facility		$812.83	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,698.24	Professional		$776.25	$1,071.52	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,318.26	Professional		$630.96	$851.14	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14