Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,715.35 / $12,589.25	Facility		$891.25	$3,715.35	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $794.33	Professional		$346.74	$501.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,570.88	Facility		$1,348.96	$2,238.72	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $645.65	Professional		$338.84	$467.74	$645.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $331.13 / $331.13	Facility		$79.43	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $954.99	Professional		$389.05	$602.56	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $33,884.42 / $33,884.42	Facility		$4,786.30	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $4,265.80	Professional		$3,715.35	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $3,019.95	Facility		$380.19	$616.60	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $870.96	Professional		$354.81	$524.81	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $302.00 / $446.68	Professional		$32.36	$302.00	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $977.24	Facility		$380.19	$588.84	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $977.24	Professional		$380.19	$602.56	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $758.58	Professional		$323.59	$489.78	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $512.86	Professional		$489.78	$512.86	$512.86