Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,022.64	Facility		$870.96	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $1,230.27	Professional		$338.84	$758.58	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $8,912.51	Facility		$2,511.89	$4,466.84	$8,912.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $1,174.90	Professional		$309.03	$691.83	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $1,548.82	Professional		$371.54	$724.44	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,760.83 / $6,760.83	Professional		$6,606.93	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,202.26 / $4,677.35	Facility		$398.11	$1,202.26	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $870.96 / $1,548.82	Professional		$338.84	$870.96	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $1,949.84	Professional		$331.13	$851.14	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $912.01 / $1,905.46	Facility		$363.08	$912.01	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,584.89	Professional		$363.08	$691.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $1,445.44	Professional		$309.03	$676.08	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $870.96	Professional		$831.76	$831.76	$870.96