Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $7,585.78	Facility		$575.44	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $691.83	Professional		$371.54	$436.52	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $389.05 / $467.74	Professional		$165.96	$389.05	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $14,791.08	Facility		$3,801.89	$7,413.10	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $575.44	Professional		$338.84	$436.52	$575.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $346.74	Facility		$331.13	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $870.96	Professional		$389.05	$524.81	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
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 $416.87 / $1,230.27 / $5,370.32	Facility		$416.87	$1,230.27	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $891.25	Professional		$371.54	$478.63	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,318.26	Professional		$1,202.26	$1,230.27	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $891.25	Facility		$354.81	$478.63	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $851.14	Professional		$371.54	$524.81	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $14,791.08	Facility		$2,630.27	$7,585.78	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $691.83	Professional		$323.59	$446.68	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08