Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,238.72 / $6,918.31	Facility		$537.03	$2,238.72	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $363.08	Professional		$85.11	$144.54	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Professional		$57.54	$57.54	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $3,235.94	Facility		$851.14	$1,584.89	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $316.23	Professional		$79.43	$186.21	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $275.42	Facility		$79.43	$81.28	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $831.76 / $1,071.52	Facility		$147.91	$831.76	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $371.54	Professional		$93.33	$169.82	$371.54
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 $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $562.34	Facility		$87.10	$173.78	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $416.87	Professional		$83.18	$141.25	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $602.56	Professional		$186.21	$288.40	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $363.08	Facility		$85.11	$151.36	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $416.87	Professional		$93.33	$177.83	$416.87
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 $79.43 / $125.89 / $213.80	Professional		$79.43	$125.89	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $269.15 / $309.03	Professional		$67.61	$269.15	$309.03