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 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $120.23	Professional		$56.23	$75.86	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $58.88	Professional		$29.51	$48.98	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $331.13	Facility		$46.77	$75.86	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $112.20	Professional		$54.95	$70.79	$112.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Facility		$52.48	$52.48	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $1,659.59	Facility		$53.70	$63.10	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $181.97	Professional		$60.26	$91.20	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,380.38	Facility		$54.95	$56.23	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $218.78	Facility		$57.54	$89.13	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $128.82	Professional		$56.23	$75.86	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $204.17	Professional		$81.28	$158.49	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $151.36	Facility		$57.54	$87.10	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $190.55	Professional		$60.26	$93.33	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $120.23	Professional		$51.29	$75.86	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $83.18	Professional		$45.71	$74.13	$83.18