Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,548.13 / $11,481.54	Facility		$851.14	$3,548.13	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,584.89	Professional		$489.78	$794.33	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,348.96	Professional		$478.63	$645.65	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $8,317.64	Facility		$2,570.40	$4,365.16	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,096.48	Professional		$457.09	$707.95	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,137.96 / $2,137.96	Facility		$478.63	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,548.82	Professional		$562.34	$912.01	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
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 $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $4,073.80	Facility		$537.03	$977.24	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,548.82	Professional		$489.78	$831.76	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $741.31	Professional		$32.36	$112.20	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $3,235.94	Professional		$933.25	$1,778.28	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,513.56	Facility		$537.03	$912.01	$1,513.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,584.89	Professional		$537.03	$912.01	$1,584.89
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 / $707.95 / $1,174.90	Professional		$457.09	$707.95	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $891.25	Professional		$851.14	$891.25	$891.25