Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $691.83	Professional		$346.74	$407.38	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,511.38 / $15,848.93	Facility		$1,995.26	$8,511.38	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $602.56	Professional		$363.08	$436.52	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $380.19	Facility		$79.43	$371.54	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $812.83	Professional		$380.19	$512.86	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,801.89	Professional		$3,467.37	$3,467.37	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $3,890.45	Facility		$380.19	$575.44	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $707.95	Professional		$346.74	$501.19	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Professional		$741.31	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $501.19 / $851.14	Facility		$371.54	$501.19	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $812.83	Professional		$363.08	$512.86	$812.83
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 $309.03 / $407.38 / $630.96	Professional		$309.03	$407.38	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11