Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,467.37 / $12,022.64	Facility		$812.83	$3,467.37	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $707.95	Professional		$257.04	$407.38	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $1,698.24	Facility		$245.47	$407.38	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $588.84	Professional		$245.47	$389.05	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $416.87	Facility		$234.42	$234.42	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $489.78	Facility		$354.81	$389.05	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $741.31	Professional		$275.42	$426.58	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,630.78	Professional		$3,090.30	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $977.24	Facility		$263.03	$446.68	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $724.44	Professional		$257.04	$398.11	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $776.25 / $1,174.90	Professional		$323.59	$776.25	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $758.58	Facility		$257.04	$426.58	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $776.25	Professional		$269.15	$436.52	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $8,511.38	Facility		$1,380.38	$3,981.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $562.34	Professional		$229.09	$354.81	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $467.74	Professional		$204.17	$407.38	$467.74