Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $602.56	Professional		$309.03	$371.54	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $467.74	Professional		$165.96	$165.96	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $8,128.31	Facility		$1,949.84	$4,168.69	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $588.84	Professional		$323.59	$407.38	$588.84
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 $346.74 / $457.09 / $724.44	Professional		$346.74	$457.09	$724.44
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 $2,818.38 / $3,388.44 / $3,388.44	Professional		$2,818.38	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $2,187.76	Facility		$338.84	$478.63	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $741.31	Professional		$316.23	$446.68	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $346.74	Professional		$32.36	$288.40	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,258.93 / $1,548.82	Professional		$426.58	$1,258.93	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $758.58	Facility		$323.59	$446.68	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $741.31	Professional		$331.13	$457.09	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $562.34	Professional		$275.42	$363.08	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $426.58	Professional		$407.38	$426.58	$426.58