Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $8,511.38	Facility		$537.03	$2,454.71	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $457.09 / $776.25	Professional		$147.91	$457.09	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $154.88	Professional		$134.90	$151.36	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $19,054.61	Facility		$1,023.29	$4,365.16	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $371.54 / $616.60	Professional		$131.83	$371.54	$616.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $977.24	Professional		$162.18	$346.74	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,466.84	Facility		$54.95	$56.23	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $3,630.78	Professional		$3,019.95	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,737.80 / $6,165.95	Facility		$229.09	$1,737.80	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $794.33	Professional		$144.54	$467.74	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $436.52 / $1,548.82	Professional		$125.89	$436.52	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $407.38 / $933.25	Facility		$144.54	$407.38	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $977.24	Professional		$154.88	$338.84	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $912.01	Professional		$138.04	$380.19	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52