Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $537.03	Professional		$275.42	$331.13	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Professional		$323.59	$323.59	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $776.25	Facility		$208.93	$363.08	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $501.19	Professional		$281.84	$354.81	$501.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $302.00	Facility		$275.42	$275.42	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $645.65	Professional		$302.00	$407.38	$645.65
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 $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $2,951.21	Professional		$2,511.89	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $1,995.26	Facility		$302.00	$426.58	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $676.08	Professional		$275.42	$407.38	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $302.00	Professional		$32.36	$251.19	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,148.15 / $1,412.54	Professional		$407.38	$1,148.15	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $398.11 / $660.69	Facility		$295.12	$398.11	$660.69
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $660.69	Professional		$295.12	$416.87	$660.69
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 $239.88 / $323.59 / $489.78	Professional		$239.88	$323.59	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Professional		$363.08	$389.05	$389.05