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 $85.11 / $190.55 / $316.23	Professional		$85.11	$190.55	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $3,388.44	Facility		$891.25	$1,584.89	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $263.03	Professional		$83.18	$173.78	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $223.87	Facility		$83.18	$87.10	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $831.76 / $1,071.52	Facility		$151.36	$831.76	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $380.19	Professional		$100.00	$204.17	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,778.28	Professional		$1,479.11	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $537.03	Facility		$93.33	$218.78	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $354.81	Professional		$85.11	$186.21	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $446.68 / $588.84	Professional		$147.91	$446.68	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $380.19	Facility		$93.33	$208.93	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $389.05	Professional		$97.72	$208.93	$389.05
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 $83.18 / $158.49 / $281.84	Professional		$83.18	$158.49	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $223.87 / $251.19	Professional		$69.18	$223.87	$251.19