Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $6,918.31	Facility		$524.81	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $380.19	Professional		$151.36	$239.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $1,047.13	Facility		$158.49	$263.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $316.23	Professional		$151.36	$229.09	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,659.59 / $1,659.59	Facility		$147.91	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $467.74	Professional		$173.78	$275.42	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,995.26	Facility		$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $1,995.26	Facility		$165.96	$281.84	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $457.09	Professional		$154.88	$245.47	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $134.90 / $223.87	Professional		$32.36	$134.90	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $489.78	Professional		$323.59	$323.59	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $446.68	Facility		$162.18	$263.03	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $478.63	Professional		$169.82	$275.42	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,819.70 / $4,168.69	Facility		$436.52	$1,819.70	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $354.81	Professional		$141.25	$218.78	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03