Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $6,918.31	Facility		$707.95	$2,951.21	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $870.96	Professional		$338.84	$501.19	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $389.05	Professional		$354.81	$354.81	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $7,079.46	Facility		$1,905.46	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $676.08	Professional		$338.84	$467.74	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $338.84 / $346.74	Facility		$79.43	$338.84	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Professional		$389.05	$575.44	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,265.80	Professional		$3,981.07	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $2,454.71	Facility		$380.19	$630.96	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $954.99	Professional		$354.81	$537.03	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $416.87	Professional		$32.36	$288.40	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $933.25	Professional		$741.31	$741.31	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $977.24	Facility		$371.54	$602.56	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $933.25	Professional		$371.54	$575.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $776.25	Professional		$316.23	$467.74	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54