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 $123.03 / $190.55 / $316.23	Professional		$123.03	$190.55	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $338.84	Professional		$223.87	$223.87	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $588.84 / $1,230.27	Facility		$275.42	$588.84	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $281.84	Professional		$117.49	$186.21	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $208.93	Facility		$114.82	$114.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,659.59	Facility		$213.80	$213.80	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $389.05	Professional		$134.90	$213.80	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $501.19	Facility		$128.82	$218.78	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $346.74	Professional		$123.03	$194.98	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $537.03	Professional		$199.53	$363.08	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $363.08	Facility		$128.82	$208.93	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $416.87	Professional		$134.90	$218.78	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $275.42	Professional		$114.82	$173.78	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $234.42	Professional		$97.72	$204.17	$234.42