Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,137.96 / $6,918.31	Facility		$426.58	$2,137.96	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $295.12	Professional		$131.83	$165.96	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $158.49	Professional		$112.20	$151.36	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $707.95	Facility		$95.50	$162.18	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $239.88	Professional		$138.04	$169.82	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $218.78	Facility		$141.25	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $323.59	Professional		$151.36	$204.17	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,819.70	Facility		$54.95	$56.23	$1,819.70
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,445.44	Professional		$1,230.27	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $2,238.72	Facility		$147.91	$208.93	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $316.23	Professional		$134.90	$194.98	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $151.36	Professional		$32.36	$123.03	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $537.03 / $645.65	Professional		$177.83	$537.03	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $194.98 / $331.13	Facility		$144.54	$194.98	$331.13
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $331.13	Professional		$147.91	$204.17	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $245.47	Professional		$120.23	$162.18	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $177.83	Professional		$165.96	$177.83	$177.83