Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,454.71 / $6,918.31	Facility		$562.34	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $537.03	Professional		$131.83	$251.19	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $691.83	Facility		$173.78	$338.84	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $331.13 / $512.86	Professional		$120.23	$331.13	$512.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Facility		$117.49	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $562.34	Professional		$144.54	$323.59	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $2,951.21	Facility		$147.91	$416.87	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $346.74 / $724.44	Professional		$131.83	$346.74	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $588.84 / $1,000.00	Professional		$5.01	$588.84	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $302.00 / $616.60	Facility		$138.04	$302.00	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $588.84	Professional		$141.25	$323.59	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $489.78	Professional		$120.23	$251.19	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $407.38	Professional		$389.05	$407.38	$407.38