Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $331.13	Professional		$117.49	$199.53	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $7,762.47	Facility		$1,862.09	$3,981.07	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $295.12	Professional		$114.82	$190.55	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,691.53 / $2,691.53	Facility		$109.65	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,698.24 / $1,995.26	Facility		$204.17	$1,698.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $398.11	Professional		$125.89	$213.80	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $19,498.45 / $19,498.45	Facility		$7,943.28	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $537.03	Facility		$120.23	$223.87	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $354.81	Professional		$120.23	$199.53	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $588.84	Professional		$181.97	$398.11	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $380.19	Facility		$120.23	$218.78	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $426.58	Professional		$123.03	$218.78	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,897.79	Facility		$676.08	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $288.40	Professional		$104.71	$173.78	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $234.42	Professional		$95.50	$204.17	$234.42