Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $7,413.10	Facility		$707.95	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $457.09	Professional		$194.98	$288.40	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $316.23	Professional		$275.42	$275.42	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,621.81	Facility		$446.68	$758.58	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $446.68	Professional		$186.21	$269.15	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $575.44	Professional		$218.78	$338.84	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $2,454.71	Professional		$2,137.96	$2,454.71	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $3,715.35	Facility		$213.80	$407.38	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $549.54	Professional		$194.98	$302.00	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $660.69 / $794.33	Professional		$5.01	$660.69	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $616.60	Facility		$204.17	$331.13	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $562.34	Professional		$218.78	$346.74	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $478.63	Professional		$194.98	$288.40	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03