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 / $8,317.64	Facility		$707.95	$2,951.21	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $354.81	Professional		$95.50	$181.97	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $138.04	Professional		$81.28	$83.18	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $1,096.48	Facility		$169.82	$263.03	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $245.47	Professional		$87.10	$154.88	$245.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $87.10	Facility		$79.43	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $457.09	Professional		$120.23	$269.15	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,698.24	Facility		$54.95	$56.23	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,949.84	Professional		$1,412.54	$1,412.54	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.03 / $2,454.71	Facility		$100.00	$263.03	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $302.00	Professional		$95.50	$169.82	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $218.78	Professional		$32.36	$93.33	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $549.54	Professional		$309.03	$309.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $426.58	Facility		$100.00	$239.88	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $457.09	Professional		$117.49	$263.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $380.19	Professional		$147.91	$234.42	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82