Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $15,135.61	Facility		$1,288.25	$4,365.16	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,513.56 / $2,818.38	Professional		$407.38	$1,513.56	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $707.95	Professional		$338.84	$389.05	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $15,848.93	Facility		$4,365.16	$7,943.28	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,412.54 / $2,344.23	Professional		$354.81	$1,412.54	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $14,791.08 / $14,791.08	Facility		$338.84	$14,791.08	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $3,548.13	Professional		$436.52	$912.01	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $44,668.36	Facility		$54.95	$56.23	$44,668.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $16,218.10	Professional		$14,125.38	$14,125.38	$16,218.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,511.89 / $10,471.29	Facility		$478.63	$2,511.89	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,737.80 / $3,019.95	Professional		$416.87	$1,737.80	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,348.96 / $5,888.44	Professional		$338.84	$1,348.96	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,659.59 / $4,365.16	Facility		$416.87	$1,659.59	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $912.01 / $3,548.13	Professional		$426.58	$912.01	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,445.44 / $3,311.31	Professional		$371.54	$1,445.44	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,621.81	Professional		$1,513.56	$1,513.56	$1,621.81