Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $303.80 / $1,182.90	Facility		$240.43	$303.80	$1,182.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $934.86 / $1,655.54	Professional		$234.04	$934.86	$1,655.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $184.12 / $716.91	Professional		$184.12	$184.12	$716.91
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 $178.83 / $602.19 / $1,095.55	Professional		$178.83	$602.19	$1,095.55
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $120.90 / $193.52	Professional		$102.30	$120.90	$193.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $296.25 / $296.25	Professional		$296.25	$296.25	$296.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,448.83	Facility		$55.00	$55.00	$1,448.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.22 / $5,964.52 / $6,570.53	Professional		$3,503.22	$5,964.52	$6,570.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $639.84 / $1,779.25	Facility		$204.78	$639.84	$1,779.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $184.12 / $184.12	Professional		$184.12	$184.12	$184.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $713.80 / $1,433.82	Professional		$200.36	$713.80	$1,433.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.36 / $639.84 / $2,055.69	Facility		$200.36	$639.84	$2,055.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.20 / $989.81 / $2,542.04	Professional		$350.20	$989.81	$2,542.04
United Facility/Professional Professional Modifier Low / Median / High Price $907.73 / $1,242.88 / $1,936.44	Professional		$907.73	$1,242.88	$1,936.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.30 / $716.91 / $1,017.55	Professional		$641.30	$716.91	$1,017.55