Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $831.76	Professional		$426.58	$512.86	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,332.54 / $17,782.79	Facility		$3,981.07	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $776.25	Professional		$457.09	$562.34	$776.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $478.63	Facility		$79.43	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $954.99	Professional		$457.09	$616.60	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $34,673.69	Facility		$28,840.32	$28,840.32	$34,673.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $4,365.16	Professional		$3,630.78	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $3,715.35	Facility		$478.63	$676.08	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $891.25	Professional		$436.52	$645.65	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $891.25	Professional		$562.34	$562.34	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $1,000.00	Facility		$457.09	$588.84	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $954.99	Professional		$446.68	$616.60	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Professional		$363.08	$489.78	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Professional		$478.63	$512.86	$512.86