Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $501.19	Professional		$245.47	$302.00	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $8,317.64	Facility		$2,570.40	$4,466.84	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $446.68	Professional		$263.03	$323.59	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $269.15 / $269.15	Facility		$79.43	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $588.84	Professional		$275.42	$371.54	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $19,498.45 / $19,498.45	Facility		$8,912.51	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,754.23	Professional		$2,344.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $2,187.76	Facility		$257.04	$380.19	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $602.56	Professional		$251.19	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $234.42 / $281.84	Professional		$32.36	$234.42	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,023.29 / $1,258.93	Professional		$275.42	$1,023.29	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $602.56	Facility		$245.47	$354.81	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $602.56	Professional		$263.03	$371.54	$602.56
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 $208.93 / $288.40 / $446.68	Professional		$208.93	$288.40	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $354.81	Professional		$331.13	$354.81	$354.81