Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,818.38 / $7,079.46	Facility		$676.08	$2,818.38	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $645.65	Professional		$245.47	$371.54	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $354.81 / $426.58	Professional		$120.23	$354.81	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $4,570.88	Facility		$1,288.25	$2,187.76	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $478.63	Professional		$239.88	$346.74	$478.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,513.56 / $1,513.56	Facility		$239.88	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $707.95	Professional		$281.84	$436.52	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $2,511.89	Facility		$269.15	$436.52	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $676.08	Professional		$251.19	$398.11	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $218.78 / $338.84	Professional		$32.36	$218.78	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $758.58	Professional		$436.52	$436.52	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $660.69	Facility		$269.15	$407.38	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $724.44	Professional		$269.15	$426.58	$724.44
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 $229.09 / $346.74 / $549.54	Professional		$229.09	$346.74	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Professional		$371.54	$389.05	$389.05