Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,818.38 / $6,918.31	Facility		$676.08	$2,818.38	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $616.60	Professional		$245.47	$363.08	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $7,943.28	Facility		$1,995.26	$4,168.69	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $537.03	Professional		$234.42	$331.13	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Facility		$223.87	$223.87	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,819.70 / $2,187.76	Facility		$416.87	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $660.69	Professional		$263.03	$389.05	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,090.30	Professional		$2,630.27	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $912.01	Facility		$257.04	$398.11	$912.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $616.60	Professional		$245.47	$363.08	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $691.83 / $977.24	Professional		$288.40	$691.83	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $676.08	Facility		$251.19	$380.19	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $691.83	Professional		$257.04	$398.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $512.86	Professional		$229.09	$331.13	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $389.05	Professional		$194.98	$346.74	$389.05