Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $323.60 / $1,813.99	Facility		$255.86	$323.60	$1,813.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $1,083.45 / $3,100.40	Professional		$247.93	$1,083.45	$3,100.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $257.86 / $1,099.39	Professional		$227.50	$257.86	$1,099.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,887.00 / $4,410.41 / $6,804.32	Facility		$1,887.00	$4,410.41	$6,804.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $1,036.03 / $1,807.49	Professional		$190.28	$1,036.03	$1,807.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $128.53 / $205.83	Professional		$108.75	$128.53	$205.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $314.56 / $314.56	Professional		$314.56	$314.56	$314.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,213.69	Facility		$55.00	$55.00	$2,213.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,474.75 / $12,762.92 / $13,145.81	Professional		$7,474.75	$12,762.92	$13,145.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $940.36 / $3,806.37	Facility		$219.96	$940.36	$3,806.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $196.12 / $196.12	Professional		$196.12	$196.12	$196.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $1,052.70 / $2,198.78	Professional		$214.11	$1,052.70	$2,198.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $981.21 / $3,875.51	Facility		$214.88	$981.21	$3,875.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.96 / $1,534.25 / $3,955.20	Professional		$374.96	$1,534.25	$3,955.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.62 / $2,594.85 / $4,151.76	Professional		$1,670.62	$2,594.85	$4,151.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $986.39 / $1,099.39 / $1,566.35	Professional		$986.39	$1,099.39	$1,566.35