Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,000.00	Professional		$562.34	$691.83	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,511.38	Facility		$2,454.71	$4,466.84	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $891.25	Professional		$512.86	$645.65	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,258.93	Professional		$588.84	$831.76	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,897.79 / $4,897.79	Professional		$4,466.84	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $5,623.41	Facility		$630.96	$1,230.27	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,000.00	Professional		$562.34	$741.31	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,089.30	Professional		$1,905.46	$1,905.46	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,445.44	Facility		$588.84	$812.83	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,174.90	Professional		$588.84	$812.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,096.48	Professional		$524.81	$691.83	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $562.34	Professional		$512.86	$512.86	$562.34