Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,570.40 / $6,918.31	Facility		$645.65	$2,570.40	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,174.90	Professional		$467.74	$707.95	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $691.83	Professional		$281.84	$467.74	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $8,317.64	Facility		$2,570.40	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $870.96	Professional		$457.09	$630.96	$870.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $446.68 / $446.68	Facility		$79.43	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,348.96	Professional		$537.03	$851.14	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $5,888.44	Professional		$5,011.87	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $2,630.27	Facility		$512.86	$831.76	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,258.93	Professional		$467.74	$724.44	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $575.44	Professional		$32.36	$89.13	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,698.24 / $2,570.40	Professional		$776.25	$1,698.24	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,348.96	Facility		$512.86	$794.33	$1,348.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,380.38	Professional		$524.81	$831.76	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,071.52	Professional		$457.09	$691.83	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $707.95	Professional		$676.08	$707.95	$707.95