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 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $288.40	Professional		$79.43	$177.83	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $1,023.29	Facility		$128.82	$218.78	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $239.88	Professional		$74.13	$154.88	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $776.25 / $776.25	Facility		$69.18	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $2,511.89	Facility		$138.04	$173.78	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $371.54	Professional		$89.13	$199.53	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $741.31	Facility		$54.95	$56.23	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,621.81	Professional		$1,380.38	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $2,570.40	Facility		$85.11	$223.87	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $309.03	Professional		$79.43	$177.83	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $371.54 / $524.81	Professional		$5.01	$371.54	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $346.74	Facility		$79.43	$190.55	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $398.11	Professional		$87.10	$199.53	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $281.84	Professional		$74.13	$151.36	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $190.55 / $213.80	Professional		$63.10	$190.55	$213.80